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Online Application

Important Messages

Welcome to the Human Resources online employee application for ADA accommodation requests.

Please note that by completing this form you are giving consent for Human Resources to share pertinent information regarding your accommodations with Lane Community College Management and Staff as needed to facilities the interactive accommodation process. Sharing information is intended to assist others in understanding and supporting your request(s) for accommodations, health and safety, and to create effective strategies for the provision of accommodations and employment success. This consent can be revoked at any time by contacting Human Resources.

It is a policy of the state Board of Education and a priority of the Oregon Department of Education that there will be no discrimination and harassment on the grounds of race, color, sex, sexual orientation, marital status, religion, national origin, age, or disability in any educational programs, activities or employment. Inquiries may be directed to the Chief Human Resources Officer, (541) 463-5586.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Hint: Enter L#
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Questions
  1. I give HR permission to call and leave a detailed message: *
  2. I give HR permission to include detailed information in email: *
  3. Classification
  4. Is your accommodation time sensitive? *
  5. Have you had any accommodations in the past for this same condition? *

Terms and Conditions

I authorize the release of information regarding my disability to Lane Community College Management and Staff as deemed necessary by Human Resources to facilitate this request for accommodation.

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