Lake Superior College

ADA Request Form

Requests for Accommodations by Employees with Disabilities.
The Americans With Disabilities Act provides that employees who have documented disabilities (as defined in the act) will be provided with reasonable accommodations to allow individuals to perform their work functions to the best of their abilities. The contact person for ADA requests (ADA Coordinator) is Jane Glowacki, Personnel Officer (218)733-7692.

Procedure for Requesting a Reasonable Accommodation

1. To initiate the process, employees will complete the ADA Request Form and return it to the Human Resources Office. Employees may also schedule and appointment with the ADA Coordinator before completing the form to clarify the process and ask questions.

2. The Human Resources office will provide employees with the appropriate Release of Medical Information forms in order to request medical documentation of the issue related to the accomodation request. The ADA Coordinator will verify that there is a qualifying condition prior to beginning the interactive process for identifying a reasonable accomodation.

3. When a request for a reasonable accomodation has been documented and verified, the ADA Coordinator will begin the interactive process with the employee and supervisor to discuss the purpose of the job and the essential functions. This process may include completing a step-by-step job analysis to determine the precise job-related limitations.

4. The next step is to identify potential accommodations and assess the effectiveness of each. The ADA Coordinator may seek technical assistance from the State ADA Coordinator or the Director of Disability Services for the college.

5. If an accommodation cannot overcome the existing barriers, or if the accommodation would cause undue hardship to the operation of the college, the employee and ADA Coordinator will work together to determine whether reassignment may be an appropriate accommodation.

Procedure for Requesting a Reasonable Accommodation - Job Applicant

1. Applicants inform the Human Resources Office of their request for an accommodation in writing or verbally. When a request is received from a job applicant, the Search Committee Chair and the ADA Coordinator from the Human Resources Office will discuss alternatives with the applicant and will make a decision regarding the request. If approved, the ADA Coordinator and Search Committee Chair will make sure the accomodation is provided.

2. If the request is approved, the supervisor will make sure that the accommodation is provided. If the request is not approved, the ADA Coordinator will inform the applicant in writing within 5 days.


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	Lake Superior College Human Resources ADA/Disability ADA Request Form Requests for Accommodations by Employees with Disabilities. The Americans With Disabilities Act provides that employees who have documented disabilities (as defined in the act) will be provided with reasonable accommodations to allow individuals to perform their work functions to the best of their abilities. The contact person for ADA requests (ADA Coordinator) is Jane Glowacki, Personnel Officer (218)733-7692. Procedure for Requesting a Reasonable Accommodation 1. To initiate the process, employees will complete the ADA Request Form and return it to the Human Resources Office. Employees may also schedule and appointment with the ADA Coordinator before completing the form to clarify the process and ask questions. 2. The Human Resources office will provide employees with the appropriate Release of Medical Information forms in order to request medical documentation of the issue related to the accomodation request. The ADA Coordinator will verify that there is a qualifying condition prior to beginning the interactive process for identifying a reasonable accomodation. 3. When a request for a reasonable accomodation has been documented and verified, the ADA Coordinator will begin the interactive process with the employee and supervisor to discuss the purpose of the job and the essential functions. This process may include completing a step-by-step job analysis to determine the precise job-related limitations. 4. The next step is to identify potential accommodations and assess the effectiveness of each. The ADA Coordinator may seek technical assistance from the State ADA Coordinator or the Director of Disability Services for the college. 5. If an accommodation cannot overcome the existing barriers, or if the accommodation would cause undue hardship to the operation of the college, the employee and ADA Coordinator will work together to determine whether reassignment may be an appropriate accommodation. Procedure for Requesting a Reasonable Accommodation - Job Applicant 1. Applicants inform the Human Resources Office of their request for an accommodation in writing or verbally. When a request is received from a job applicant, the Search Committee Chair and the ADA Coordinator from the Human Resources Office will discuss alternatives with the applicant and will make a decision regarding the request. If approved, the ADA Coordinator and Search Committee Chair will make sure the accomodation is provided. 2. If the request is approved, the supervisor will make sure that the accommodation is provided. If the request is not approved, the ADA Coordinator will inform the applicant in writing within 5 days.	QuickLinks Home Employee Handbook Compensation Direct Deposit Faculty Information Forms Diversity Committee ADA/Disability LSC Employment State Employment MnSCU Employment MnSCU Policy LSC Policy DOER Benefits
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