This guide is designed to provide a framework and sequence for working jointly with adult learners to confirm their disability, assess their functional needs, select appropriate accommodations, provide instruction for using accommodations, and monitor accommodation effectiveness. In addition to procedural information, the guide contains instructor tips, overhead masters, sample forms, and interview protocols. It incorporates both legal requirements and occupational therapy strategies in presenting practical information on how to work with adult learners with disabilities. The accommodation model includes the following steps: (1) obtain and review disability documentation; (2) conduct the functional needs interview; (3) identify previous approaches or accommodations for meeting goals; (4) identify the learner's goals; (5) review and prioritize the learners' goals; (6) identify strengths and resources available to the learner; (7) identify possible accommodations using a provided matrix and evaluate pros and cons of each accommodation; (8) have learner select accommodations; (9) acquire needed services or materials for accommodations and instruct learner in using the accommodations; and (10) gather qualitative and quantitative information that describes the results of accommodations and discuss the results with the learner. Lists are provided that give examples of challenges learners with different disabilities may face in the classroom setting. (CR)