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Applications Application

Introduction

Type: Religious Accommodations.

This is an application for Religious Accommodations. Please be sure to provide accurate contact information in order to receive follow up communication.

Please allow 48 business hours to review your application. Once your application is reviewed, you will receive an email regarding next steps, approval or denial. If you have questions or concerns, please contact the Dean of Students office at 319-398--5540.

Important Definitions
A Religious Accommodation is any adjustment to an environment, practice, or process that allows an individual to practice their religion. The need for religious accommodation may arise where an individual’s religious beliefs, observances, or practices conflict with a specific task or requirement of a class, schedule, workplace responsibility, assignment, or position.

Religious Beliefs include theistic beliefs (i.e. those that include a belief in God) as well as non-theistic moral or ethical beliefs about right and wrong that are sincerely held by an individual, regardless of whether they are part of an organized religion.

For further information on Kirkwood's Religious Accommodation Policy, please visit: Religious Accommodations Policy
Application Information
Personal Information
Hint: k-number with the k
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2025).
Contact Information
Hint: The system will not send email to the secondary email address. This field is used to record additional student email addresses. For security purposes, we do not recommend sending email to student personal email address.
Additional Information
Campus:
List of Questions
Question 5: What is the accommodation you are requesting? (Check all that apply)required field
Question 7: By checking this button and submitting this application, I verify that my religious beliefs and practices, which prompt this request for a religious accommodation, are sincerely held.

I understand that the accommodation requested may not be granted, but that the College will attempt to provide a reasonable accommodation that does not create an fundamental alteration to requirements or undue hardship on the College.

A religious accommodation is specific to the dates and specific accommodation requests made. Other (or ongoing holiday or holy day observance) religious accommodation require additional requests.required field
Form Submission

Question?

Accommodation Services
Dean of Students Office | Student Services
Kirkwood Community College
6301 Kirkwood Blvd SW
Cedar Rapids, IA 52404
Phone: (319) 398-5540 (Voice)
Fax: (319) 398-7788
Email: sas@kirkwood.edu