Accommodation Request

* indicates a required field

Dean College Accommodations & Services Intake Form

Getting Started

Thank you for contacting the Office of Accessibility Services at Dean College. Students seeking accommodations must complete this form and submit documentation of their disabilityDocumentation guidelines are available online.  Students are also required to meet with the Accessibility Services Coordinator prior to or as early in the semester as possible to review eligibility for accommodations and, if applicable, obtain copies of their Letter of Accommodation.

Student Information

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Please use your Dean College issued email address, if you have one.
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Specific Accommodation Information

Please identify your diagnosed disability.
Check all that apply.















If you selected any items above indicated "please specify," please use this area to provide that information.
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Please describe your disability and how it affects your performance as a student.

Support Services/ Academic Adjustments

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What specific accommodations or services have you utilized in the past? Please include any accommodations and support services that would be helpful for our staff to understand your history.

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Please specify the academic accommodations you are requesting.
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You will be required to share supporting documentation with our office. If you have an electronic copy and would like to attach it to this form, please use this uploader tool.

Confidentiality and Verification

Please note

Information provided to the Office of Accessibility Services will be shared with others at the College on a "need to know" basis and otherwise kept confidential, unless disclosure is authorized by law.

Verification

By submitting this online form, you are verifying that the information you have provided is true and accurate.