Reasonable Accommodation Request

At Genesys, diversity, equity, and inclusion are at the center of our culture. Our diverse backgrounds and abilities are part of what makes #OneGenesys great! We're here to support you if you may need a reasonable workplace accommodation to do your best work. We take your privacy seriously and your information will be protected in accordance with our privacy policy. https://www.genesys.com/company/legal/privacy-policy

Who is the request for?

Select

First Name (required)*

Last Name (required)*

Email Address (required)*

Phone/ TTY Number

Phone

Preferred Method of Contact (required)*

Select

Country of Residence (required)*

Select

Manager Name (required)*

What is the Job ID(s) or Title(s) of the positions you would like to apply? (required)*

Is the request related to COVID-19? (required)*

Select

Is the request related to a firmly held relgious belief?*

Select

Please identify the company requirement, policy, or practice that conflicts with your sincerely held religious observance, practice, or belief ("religious beliefs").

Please describe the nature of your sincerely held religious beliefs or religious practice or observance that conflict with the company’s requirement, policy, or practice identified above.

Is your reasonable accommodation request time sensitive? (required)*

Select

Please explain the time sensitive nature of your request. (required)*

What specific reasonable accommodation(s) or modification(s) are you requesting? (required)*

Include alternative accommodations/ modifications, if any.

What, if any, job functions are you having difficulty performing?

If you are requesting a specific reasonable accommodation, how will that accommodation assist you?

Attachments/ Screen Captures, if needed

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse