9,879
edits
Line 96: | Line 96: | ||
<td width="20"> </td> | <td width="20"> </td> | ||
<td>Has a disability that necessitates accommodation to meet the University of Nebraska Medical Center, College of Nursing’s Technical Standards Policy and shall proceed in accordance with the policy and will provide documentation of the disability including appropriate medical records and a description of the accommodation requested to the University of Nebraska Medical Center, College of Nursing.</td> | <td>Has a disability that necessitates accommodation to meet the University of Nebraska Medical Center, College of Nursing’s Technical Standards Policy and shall proceed in accordance with the policy and will provide documentation of the disability including appropriate medical records and a description of the accommodation requested to the University of Nebraska Medical Center, College of Nursing.</td> | ||
</tr> | |||
</table> | |||
<br /><br /><br /> | |||
<p style="margin-left:30px;">DATED this ____________________ day of ____________________________, 20________.</p> | |||
<br /><br /><br /> | |||
<table cellpadding="0" cellspacing="0" width="100%"> | |||
<tr> | |||
<td> </td> | |||
<td>________________________________________</td> | |||
</tr> | |||
<tr> | |||
<td> </td> | |||
<td>Signature of Accepted Applicant | |||
</td> | |||
</tr> | </tr> | ||
</table> | </table> |