Public Accommodation Request

Public Accommodation Request Powered by Symplicity

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CEDARVILLE UNIVERSITY DISABILITY SERVICES

Welcome to Cedarville University Disability Services!  To submit this application, you must be a Cedarville University student with a Cedarville University ID# and e-mail address, both of which will be entered on this application to Disability Services.  Please provide complete information and upload a copy of your professional documentation. If you are unable to scan your documentation for upload, it may be e-mailed or faxed using the information provided on the Disability Services web site.

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Please use your CU email address only.
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Accessibility Information

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Include specific diagnoses, severity of each diagnosis, and the impact of each limitation on your academic performance and activities of daily living.
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List any past academic accommodations and support services you have received, including any augmentative or assistive devices used, ACT/SAT accommodations, IEP accommodations, and 504 plan accommodations.
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Accommodations are requested on a per semester basis; please enter the first semester for which you would like to request this accommodation.
What accommodations are you requesting?*:
What accommodations are you requesting?

Accessibility Accommodation

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Please give details of your request as needed. If you selected "Other," specify the accommodation you are requesting.
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