Student Accommodation Request Form

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Student Information

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If you don't know your student ID number, please type your full name - First, Middle Initial, Last Name
Please provide us with a way to contact you if we have any questions about your request.

General Information

The Office of Accommodative Services is guided by federal and disability rights laws such as the Americans with Disabilities Act and section 504 of the Rehabilitation Act. These differ from the IDEA and K - 12 disability laws in many ways, please review documents provided to better understand your rights and responsibilities in higher education.

Accommodations do not automatically transfer from high school, or another college/university.

We will evaluate your requests on a case-by-case basis and include our academic and/or housing policies in decisions made.

Access plans are developed during discussion with students about the barriers they experience in a college setting.

Accommodations are approved and in place after this discussion takes place with our staff. 

Access plans/accommodations are based upon information students provide to us, and through review of paperwork that explains the diagnosis and major life activity impacted in a college setting. 

If you do not have paperwork from a medical, mental health provider or educational evaluation that explains your disability, please submit your request for us to discuss with you. No student should delay meeting with us out of concern for not having appropriate paperwork. We will work to collect information from you during our meeting with you.

We do not back-date accommodations or require that students have the opportunity to re-do work that was completed before accommodations were approved.

Please contact our office as soon as possible after you decide to attend DCC.

You may wish to request accommodations for placement tests or Academic Housing in addition to classroom and classroom testing accommodations.

Are you a student with a disability/condition that substantially limits one or more major life activity?Required
For example: Learning Disability, Lyme Disease, Traumatic Brain Injury, ASD, Mental Health Diagnoses, Temporary Disabilities due to injury or pregnancy, Communication/Speech Disorders, Epilepsy and more. If you are not sure, ask us! ESL does not qualify as a disability and is not covered under the ADA.
Do you need to take placement tests prior to registering for English, Math or Biology classes?
Are you currently attending DCC?
Upload supporting document(s)

Please upload any paperwork you may have that includes a diagnosis from a medical or mental health professional. Psycho-educational testing reports are also helpful to us when making accommodation decisions if you have them. 

We have a disability verification form created to help guide physicians/clinicians provide us with needed information.  Note: 504 Plans or IEPs are considered useful but may not include sufficient information necessary to make decisions about accommodations in higher education. 

If you are requesting housing accommodations, please use the Disability Verification for Housing and/or the ESA request form located on our website: Accommodative Services | Dutchess Community College | sunydutchess.edu

Housing Accommodations

Some students request disability related accommodations for the residence hall.  Please tell us what you need for equal access in Conklin Hall. We will ask you to send us information from a medical or mental health provider to support your request. 

Are you requesting housing accommodations?
If you are not registered to vote where you currently live, would you like to apply to register?
We are a National Voter Registration Site. If you check yes to this box, we will send a link to a Voter Registration form, provide you with a print copy of a Voter Registration Form, and/or assist you to complete and submit the form upon request.
Confidentiality Statement

Student’s paper and electronic information is considered confidential pursuant to FERPA, and is kept secured.  Information about disabilities and the use of accommodations is only used to arrange accommodations with other staff and faculty on a need to know basis, and is not recorded on any DCC school record or transcript. In accordance with FERPA, disability related documents will not be released to persons who are not school officials without written consent of the student, unless a FERPA exemption applies.

Documentation and student disability records are confidentially purged after 7 years of inactivity at DCC.