IOWA LAKES BOARD OF TRUSTEES ADA Request for Accommodation

IOWA LAKES BOARD OF TRUSTEES

REQUEST FOR ACCOMMODATION DURING BOARD MEETINGS
Name

First NameLast Name
Date of Request

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
Please use a personal account, not a high school account
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Check One:
Accommodation needed or location and description of barrier:
Date accommodation is needed:

MonthDayYear
Date
Barrier removal requests will be evaluated and prioritized by Iowa Lakes administrative staff with regard to the nature of the requested accommodation or barrier removal, budget and scheduled projects.
Should be Empty: