Religious Accommodation Request Form

Georgia Tech is committed to providing a workplace that respects the religious beliefs and practices of all employees. In accordance with Title VII of the Civil Rights Act of 1964, Georgia Tech will make reasonable accommodations for an employee’s sincerely held religious beliefs or practices, unless doing so would cause undue hardship to the operation of the Institute.


Employees seeking a religious accommodation must complete this form and submit it to the Office of Equal Opportunity, Compliance and Conflict Management’s (EOCCM), Accommodations Team. The request will be evaluated on a case-by-case basis, taking into consideration the nature of the accommodation requested, the employee’s religious beliefs, and the potential impact on the Institute's operations.


The Institute prohibits discrimination, harassment, or retaliation against employees for requesting or using a religious accommodation. All accommodation requests will be handled confidentially and in accordance with applicable laws and Institute policies.

 

Requestor's Information

 
 
 
Phone
 
 
 
 
 
 
 

 

Questions

 

This would be an explanation of how your religious beliefs, observance, or practice conflict with your work duties.

 
 
 
 
 

 

Supporting Documentation

 

Attachments require time to upload, so please be patient after submitting this form.

Drop your files here
 

 

I certify that the information provided in this religious accommodation request is complete and accurate, to the best of my knowledge. I understand that any false information contained herein may disqualify my request from further consideration