Public Accommodation Request

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CEDARVILLE UNIVERSITY DISABILITY SERVICES

By completing this application, you are verifying that you have a diagnosed disability and are requesting academic accommodations because of your disability. If you have not yet read through the web site at www.cedarville.edu/disabilities, please do so to become familiar with the process and the documentation requirements. Correspondence will be sent to the e-mail address you provide in this application, so it must be accurate and preferably should be your Cedarville.edu e-mail address if it has been provided to you.
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E-mail address must be accurate. Please use your Cedarville.edu e-mail address if it has been assigned to you.
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Classification when you will start as a student at Cedarville University
Are you a transfer student?(Required) *

Accessibility Information

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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.
What accommodations are you requesting?(Required) *

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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For documentation requirements, go to www.cedarville.edu/disabilities, select ACCOMMODATIONS from the menu, then ACADEMIC ACCOMMODATIONS tab.
Student's Understanding and Agreement:(Required) *