I have previous experience presenting at national and local conferences in the following areas: assistive technology, rural Independent Living, cultural competence, and creating functional assessment clinics. I have never presented before on this topic. My area of expertise in this topic is involvement in the ongoing conversation within our department over the past 11 years about the attendance modification accommodation, it's purpose and what is necessary to determine eligibility. We have evolved from a paper form that students were required to take to their instructors and engage in negotiations with them to complete, to a fairly detailed and individualized process that is done in collaboration with faculty and our staff, on the students behalf. We have also evolved in our understanding of the purpose of an attendance modification, and have a better process for determining when it is appropriate.