Instructor's NameBrinton Ahlin
Instructor's e-mail
Course Registration Number (CRN)12400
Specify the length of time that the agreement will be in effect:current quarter

Section A: Excused Absences/Make-up Participation Points

Using the Attendance and Flexibility Consideration Rubric, I have determined that:a student with a disability may miss class for disability-related reasons beyond the number of allowed absences on the syllabus. Additional information is required.
The maximum number of excused absences without penalty permitted:3
Additional details or exceptions to allotment: Most learning happens during class discussions and the participation grade is usually affected negatively after more than one absence. I can increase this to 3 excused absences, but inability to attend more than three classes will make it exceedingly difficult to excel in the course.
Plan for make-up participation points, if applicable (e.g. .submit additional blog posts on Canvas):The student may meet with me in office hours to partially make up for some absences, within reasonable limits.
Please explain why absences beyond the number allowed in the syllabus is not a reasonable accommodation.

Section B: Deadline Extensions for Assignments

Important Notice to Students: The consequences outlined for the class for missing the deadline applies to the adjusted deadlines for the student using this accommodation.
Using the Deadline Extensions Consideration Rubric, I have determined that:students with a disability may have deadline extensions. Additional information is required.
Applicable assignments (check all that apply):papers
List any assignments that are not approved for deadline extensionsWeekly discussion posts on Canvas are not approved for deadlin extensions because they are designed to ensure preparedness for class discussion the next day.

Please specify the expectations for deadline extensions.

Assignment Type(s)Essays
Timeframe for deadline extension (select one):The assignment(s) will be due within a certain number of business days of the original due date. Additional information is required.
Specify the number of business days: 2
Specify the revised due date:
If applicable, please detail the notification plan for requesting assignment extensions.Assignment extensions that are in addition to the one-time grace period provided for in the syllabus need to be requested within 48 hours of the essay prompt being issued to students. Please notify me by e-mail to request a disability-related extension for any given essay.
Please explain why deadline extensions beyond the number allowed in the syllabus is not a reasonable accommodation.

Section C: Make-up Quizzes/Exams

I have determined that administering a make-up quiz/exam is:not applicable in the course.
Timeframe for Make-Up Quizzes/Exams (select one):
Specify the number of business days:
Specify the date:
Proctoring of the make-up quizzes/exams (select one):
Student responsibilities when using these accommodations:

  1. To use these accommodations for disability-related reasons only and to maintain prompt and regular communication with the instructor.

  2. To contact the instructor and SDS if unable to meet the terms of this agreement.

  3. To be responsible for meeting the policies in the course syllabus and the essential requirements of the course, as is required by all other students enrolled in the course.

  4. This agreement becomes effective when sent to the student by SDS. The terms of this agreement are not retroactive to previous course requirements.

User ID
Scroll to Top