Student Accessibility Accommodation Request Form

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Student Information

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Academic Accommodations

Assumption University supports and recognizes the standards set forth in Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990, and its amendments, which are designed to eliminate discrimination against qualified individuals with disabilities. Assumption University is committed to providing equity, access, and inclusion of all students with disabilities within the Assumption University community.

Students requesting accommodations must self-identify and provide relevant and comprehensive documentation of disability to the Office of Student Accessibility Services. This office evaluates the clinical documentation and engages in an interactive process with students to determine eligibility and reasonable accommodations. Reasonable accommodations are such that they provide equal access for students with disabilities but are not accommodations that are unduly burdensome financially or administratively or that fundamentally alter the nature of the university's programs.

Are you requesting Academic Accommodations?Required

Housing Accommodations

Assumption University recognizes that some students have specific housing requirements related to a documented disability and/or a medical/psychological need. The University has set up a procedure to ensure that all requests for reasonable accommodations are appropriately considered. A reasonable accommodation is a modification or adjustment to a policy, procedure, practice, or service provided to a qualified individual with a documented disability and/or a medical/psychological need. 

Students requesting a housing accommodation must complete and submit a Student Application Form and a Physician Support Document to the Office of Residential Life. The Physician Support Document should be completed by the qualified professional who either diagnosed the condition and/or who follows the student for this condition. Qualified practitioners may not be family members.

Determination of an accommodation will not be made until both of these forms have been completed in full and are received by the Office of Residential Life. Applicant’s information is considered confidential, and will be shared only with members of the Student Accommodations Committee or, if necessary, the appeals committee as they consider this request.

Please note that no requests can be made for a specific living arrangement on campus, unless the documentation by your physician(s) supports a medical challenge that would require a specific style of room on campus, or other accommodation.

If you are requesting air conditioning because of allergies, and approved, the University will assign you into a room where a pre-existing air conditioner is installed. Portable air conditioners are not permitted.

Are you requesting Housing Accommodations?Required

Meal Plan Accommodations

As a residential university, Assumption requires all students living on campus to participate in the meal plan available through the University’s Dining Services, with the exception of students living in on-campus apartments. All students’ needs can be met through the standard meal plan. Dining Services offers many options to meet students’ needs and is happy to accommodate dietary requirements. Simple Servings, located in Taylor Dining Hall, is our allergen-safe dining option offering meals free from peanuts, tree nuts, shellfish, wheat, soy, milk products, eggs, and gluten-containing ingredients. Our monitored MyZone Allergen-friendly area in Taylor Dining Hall is equipped with dedicated appliances, toasters and microwaves to reduce any risks of cross-contamination with gluten, peanuts and tree nuts.

When requesting a meal plan accommodation, students must meet with Dining Services to discuss their specific food allergy or medical dietary need/restriction and send documentation of their allergy or medical dietary need/restriction to Student Accessibility Services. Dining services will work with the student to reasonably accommodate their needs. If it is determined that the student’s needs cannot be met by Dining Services, the student may request a meal plan exemption. Given the ability to accommodate a varied range of dietary needs, an exemption from participation in the meal plan is rare and will only be considered when the student’s needs cannot be met by Dining Services. Requests for meal plan exemptions based on dietary preferences or for financial reasons will not be granted. 

Students requesting a meal plan exemption must complete and submit a Student Dining Exemption Application and a Physician/Qualified Professional Support Form to the Office of Student Accessibility Services. The qualified practitioner form should be completed by the qualified professional who either diagnosed the condition and/or who follows the student for his condition. Qualified practitioners may not be family members.

Determination of an exemption will not be made until both forms have been completed in full, received by the Office of Student Accessibility Services, and reviewed by the Student Accommodation Committee. Applicant’s information is considered confidential and will be shared only with members of the Student Accommodations Committee or, if necessary, the appeals committee as they consider this request.

Are you requesting a Meal Plan Accommodation?Required

Documentation

Students are required to submit supporting documentation in order for requests to be processed.
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Confidentiality and Verification

Information provided to the Office of Student Accessibility Services will be shared with others at the university on a “need to know” basis and otherwise kept confidential, unless disclosure is authorized by law.
VerificationRequired
By submitting this online form, you are verifying that the information you have provided is true and accurate.