Fundamental Alteration Review Form

Instructor*

Instructor Email*

Course Number (e.g. DSS 1001)*

Course Title (e.g. Introduction to Accommodations)*

Campus*

Department Chair*

Semester/Year (e.g. Fall 2023)*

Accommodation Under Review (please list the accommodation as stated in the accommodation letter):*

Which student(s) in your class has this accommodation?*

What essential learning outcome does this accommodation fundamentally alter?*

Please provide documentation of the essential learning outcome (e.g. syllabus, technical standard, professional certification requirement, etc.)*

No File Chosen

File uploads may not work on some mobile devices.

Please provide an explanation as to why you feel the initial accommodation would fundamentally alter an essential learning outcome.*

Have you ever provided this accommodation for another student in your course for any other reason (i.e. active military duty, loss of a loved one, etc.)?*

Yes No

If yes, please provide additional information about the circumstances under which this accommodation was provided

This procedure is credited to Colorado State University’s Student Disability Center. Modifications have been made to meet the specific needs of Front Range Community College

Fundamental Alteration Review Form

Course Information