Accessibility Services Accommodation Request Form

Pronouns

She/Her He/Him They/Them Other

Disability Required *

Select all that apply.

[select]ADHD Learning Disability ASD Mental Health Visual Impairment Hearing Impairment Mobility-Related Disability Neurological Chronic Medical Condition Other (please specify) clear

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Have you previously used accommodations?Required *

Have you previously used accommodations? Yes Have you previously used accommodations? No

Are you submitting supporting documentation?Required *

Student Accessibility Services requires documentation to support students need for accommodations. Please upload any current documentation that you may have, if you currently do not have documentation, please provide a brief explanation. 

Additionally, please find a copy of our Verification of Accommodation Form here, for your health practitioner to complete, if needed. 

Are you submitting supporting documentation? Yes Are you submitting supporting documentation? No

Have you applied or plan to apply for student loans? (i.e. government funding)Required *

Have you applied or plan to apply for student loans? (i.e. government funding) Yes Have you applied or plan to apply for student loans? (i.e. government funding) No

Have you or are you planning to apply for the Canada Study Grant (CSG) for Services and Equipment?Required *

Have you or are you planning to apply for the Canada Study Grant (CSG) for Services and Equipment? Yes Have you or are you planning to apply for the Canada Study Grant (CSG) for Services and Equipment? No Have you or are you planning to apply for the Canada Study Grant (CSG) for Services and Equipment? Unsure, would like more information

2Do you have an approved disability verification form? Required *

2Do you have an approved disability verification form? Yes 2Do you have an approved disability verification form? No 2Do you have an approved disability verification form? Unsure, would like more information