Accommodations Request Form

Please complete the following information to request accommodations.

 

Name *

Phone number

I am requesting accommodations for the following semester *

Please let us know if you will be completing any of the following external placements for the semester you are requesting accommodations

If you will be completing an external placement, please contact Cassandra Jones, Assistant Director of Disability Services at jonesc20@xavier.edu or 513-745-3280 to schedule an appointment to explore and discuss possible accommodations that may be needed on site.

Will you need interpreting or captioning accommodations?

Student Accommodations Statement

  1. Each semester, students will need to schedule a brief appointment to review his/her accommodations and sign the Accommodation Verification form. During the appointment, you will discuss your accommodations to ensure they are appropriate for the courses you are taking. 
  2. Student accommodations will be the same each semester, unless there are changes in the students disability related needs or the accommodations are not appropriate for the course and new accommodations need to be identified to allow the student to fully participate in the course or activity.  
  3. Students must download their Accommodation Letters through Clockwork and discuss them with each of their professors.
  4. It is recommended that students schedule appointments to meet with their professors as soon as possible during the first three weeks of the semester.

The following should be discussed at the meeting with your professor:

  1. Accommodations you are eligible to receive and how they apply to the course format.
  2. If you will be taking exams in the Learning Assistance Center, discuss a way for the professor to be contacted to allow you to ask questions during the exam.

 

By agreeing to the terms and conditions, and submitting the form, I am authorizing Disability Services to communicate with other offices and personnel that may be involved with my academic accommodations at Xavier. I understand that this communication will allow Disability Services to better serve my needs.

Disability Services Confidentiality Statement

Information regarding the student’s disability is not disclosed without permission from the student.

To schedule an appointment with Disability Services, call 513.745.3280 or email disabilityserivces@xavier.edu or stop by the Conaton Learning Commons room 514.

 

By agreeing to the terms and conditions, and submitting the form, I am authorizing the Learning Assistance Center to communicate with other offices and personnel that may be involved with my academic accommodations at Xavier. I understand that this communication will allow the LAC to better serve my needs.

You will receive an email with directions on how to access your Accommodation Letters when they are available to download.