Request for Accommodation for State FFA Convention

Nebraska FFA is committed to providing equal acess to our events and activities for all people. Use this form to request accomomodation or assistance for the Annual State FFA Convention. Our staff will review the request and contact the reqeustor with additional information.

The form must be submitted by March 21, 2025. We cannot guarantee accommodations or assistance if this form is revieved after that date.

Are you completing this request for: *

Date * +

Advisor First and Last Name *

Advisor Email Address *

Phone Number *

Complete these questions for the person requesting accommodations/assistance.

First and Last Name *

Email Address *

Phone Number *

Reason for completing this form: *

ADA Accommodation Request

Special Dietary Request (only if participating in a specified meal function)

Special Request/Accommodation that impacts participation in an event

What meal function are you attending? *

What dietary restrictions or allergies should we be aware of? *

In the space below, please identify any physical and/or mobility accommodations that you may need for attending. *

What events are you attending? *

Agriscience Fair Participant

CDE

General Convention Sessions as an Audience Member

General Convention Sessions and will be on Stage

Junior High FFA Events on Friday

LDE (specify which event below)

Proficiency Finalist Participant

Star Finalist Participant

Other (specify which event below)

Explain other event you're participating in. *

Teachers should contact Dr. Matt Kreifels, coordinator of the Nebraska Career Development Events, to discuss individual student needs and how they can be met in partnership with your school prior to the CDE registration deadline. Dr. Kreifels may be contacted at 402.472.2815 or by email at matt.kreifels@unl.edu. *

Ok. I will contact Dr. Kreifels.

Explain specific LDE or other events you're participating in

What is the special request or accommodation being asked? *

Do you have an IEP? What required accommodations for testing or interviewing are outlined in your IEP (e.g. extra time, quiet room, someone reading test aloud)? *

Yes

No

If yes, please specify the accommodations you require. *

Do you have any suggestions for how we can make our events and testing more accessible for individuals with disabilities?