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… include, but not limited to: Lifting, sleeping, concentrating, breathing, working, eating, walking,
standing, reaching, thinking, reading, bending, hearing, seeing, speaking, learning, sitting, and caring for self.
Yes
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No
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Does the disability affect your ability to perform the essential functions of the job?
Yes
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No
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Have you applied for FMLA…
https://www.wichita.edu/services/humanresources/Total_Rewards/docs/Employee_Request_for_Workplace_Accommodations.pdf