ACADEMIC ADVISEMENT MANUAL - SUNY Cortland

Physical Education Teacher Candidate Course Accommodation FormFor Courses with Exit CompetenciesName of student__________________________________________ Date________________Name of Instructor________________________________________ Course #_____________Teacher candidates who experience temporary impairments in their ability to perform requiredphysical activities should discuss the nature of the impairment with the instructor so that the bestcourse of action may be determined. The teacher candidate may be required to provide medicaldocumentation regarding the nature of the impairment and the expected duration. This form must beused to document the discussion and it must then be submitted to the Physical EducationDepartment Office. Decisions regarding accommodations will be made on an individual basis usingthe following guidelines:a. If the teacher candidate becomes injured/ill after the course is in progress and s/he will not beable to complete the physical requirements, the instructor will inform the teacher candidateof the options of withdrawing, taking an incomplete, or continuing in the course withmodifications. The later in the semester the injury/illness occurs, the more appropriate theoptions of an incomplete or continuing with modifications, are.b. If a teacher candidate is injured/ill at the start of the semester, the instructor will advisehim/her of the options considering the likelihood that the teacher candidate’s injury/illnesswill be resolved in time to complete the requirements of the course.Type of impairment:Expected duration:Documentation provided? Circle one: Yes NoInstructor recommendation:__________________Teacher candidate decided to withdrawTeacher candidate will take an incomplete.Teacher candidate will continue with modifications. Describe modifications, includingany alteration to grading system, below.Signature of student______________________________________________Signature of instructor____________________________________________For office use only: received on_________________________________date___________date___________27