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New Academic Accommodation Application

Two easy steps to register
Welcome to the Office of Disability Resources (DR) online application.

This application is for students who are seeking academic accommodations. If you are seeking housing or meal plan accommodations, please complete the Housing and Meal Plan Accommodation Application form. Please complete the form below in it's entirety. In collaboration with students, faculty, and staff, our Specialists coordinate accommodations and support to ensure equal access to an education at JSU.

This application must be completed by the student requesting services. You will need your JSU email address and Student ID number to register.

Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA). Be sure to enter your JSU email address as that is the only email we will be communicating with you regarding your application and services. If you have not already reviewed the steps in the registration process, please visit our website for additional information.
Personal Information
  1. Note: Select when you would like to start your services.
  6. Hint: Enter 9 alpha numeric characters.
  7. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Affiliation(s)

Questions

  1.  
    Select the class standings that describe you (Check all that apply):
  3.  
    Are you requesting accommodations for any of the following (check all that apply):
  5.  
    Have you previously used accommodations in your prior schools or educational institutions? * (Selection is Required)
  6.  
    Are you currently receiving support, benefits, or services through Vocational Rehabilitation? * (Selection is Required)
  7.  
    How did you learn about Disability Resources? (Check all that apply). * (Selection is Required)
By clicking the submit button below, I affirm that I am the student listed in the application above and have completed this application truthfully. I affirm I have read and understand the confidentiality statement and stated policies and procedures herein.

I am responsible for submitting documentation to verify the presence of a disability and request services each semester. I understand that Disability Resources will communicate my accommodations to the appropriate faculty and staff when I request accommodations. I understand that program requirements will not be altered and standards will not be lowered; and reasonable accommodations are not retroactive and are effective from the date that the accommodations plan is presented to the appropriate university personnel.

I understand the following grievance process: If I have a concern about my reasonable accommodations or the status of my application, I may contact Dr. Sean Creech, Director of Disability Resources, at sccreech@jsu.edu or (256) 782-5264. Dr. Creech’s Office is located on the 2nd floor of the Houston Cole Library. Additional information regarding complains and grievances can be found on the Disability Resources webpage at www.jsu.edu/disabilityresources.

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