Personal tools
You are here: Home > Forms > Disablitiy Data Questionaire

Disablitiy Data Questionaire

State statutes require the collection of information regarding the disability status of employees. Additionally, the University has the responsibility to periodically provide its employees with the opportunity to self-identify as a person with a disability and to request changes or accommodations within their work place. Information provided will not be used to discriminate in any way. Identifying yourself as having a disability will help the University to:

1.Identify individuals who may need assistance in emergency situations.
2.Identify individuals who may need accommodations to enable them to do their jobs. To find out more about how to request an accommodation, please contact your supervisor or the Office of Equity & Affirmative Action at 920-424-2296.
3.Evaluate our progress in providing equal opportunity for persons with disabilities.
The information provided will remain confidential with the following exceptions:

  1. Supervisors and managers may be informed regarding necessary restrictions to the work or duties of the employee and necessary accommodations.
  2. If special help is needed in the event of an emergency.
  3. Investigating compliance with non-discrimination laws by government officials.






*Disability is defined as one who has a physical or mental impairment that substantially limits one or more major life activity.

**To be severely disabled all of the following conditions must be met: attributable to a mental or physical impairment or combination of mental and physical impairments likely to continue indefinitely results in substantial functional limitations in one or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, capacity for independent living and economic self-sufficiency. (s230.04 (9r)(aStats)

by Clark, Leslie A. last modified Oct 06, 2011 02:54 PM