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Current/Returning Student Disability Accommodation Request Form
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Instructions
Please complete this form if you have
received disability
accommodations before at OSU-Oklahoma City (OSU-OKC)
and have officially enrolled in classes for the semester in which you are requesting accommodations.
This form should take approximately 5 to 10 minutes to complete.
We will reply to your
okstate email address
or call with any questions. Otherwise, we will prepare and send Accommodation Letters for your semester's classes within two (2) business days of approval if you are enrolled in classes that have already started.
If you are enrolled in classes that haven't started at the time of your accommodation request, we'll send out your Accommodation Letters approximately one (1) to two (2) weeks before their start date.
If you have any questions or need assistance, please contact the OSU-OKC Access & Community Impact Office at
okc.accessibility@okstate.edu
or 405-945-8624 and we will be happy to help!
Name and Contact Information
First Name
Preferred Name
Last Name
Personal Pronouns (Please check all that apply.)
Personal Pronouns (Please check all that apply.)
he/him/his
she/her/hers
they/them/theirs
School Email Address
Student ID (CWID)
Birthdate
Birthdate
January
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Phone Number
Are you deaf or hard-of-hearing?
Are you deaf or hard-of-hearing?
Yes
No
Are you requesting any of the following accommodations?
Sign Language Interpreters
Media Captioning
Computer-Aided Real-Time Transcription (CART)
Assistive Listening Devices
Are you requesting any of the following accommodations?
Sign Language Interpreters
Media Captioning
Computer-Aided Real-Time Transcription (CART)
Assistive Listening Devices
Yes
No
Semester/Year of Accommodation Request
What semester and year are you requesting accommodations for? (Please select only
one
.)
What semester and year are you requesting accommodations for? (Please select only
one
.)
Spring 2024
Summer 2024
Are you in the
Center for Social Innovation (CFSI)
program?
Yes
No
Accommodations Requested
Are you requesting the same accommodations our office approved the last semester we worked together?
Are you requesting the same accommodations our office approved the last semester we worked together?
Yes - requesting the exact same accommodations
No - requesting completely different accommodations than last semester
Both - requesting a combination of the same accommodations as last semester plus new accommodation requests we haven't talked about before
***Please note if you requested equipment in the past, you will need to contact us
by emailing
okc.accessibility@okstate.edu
to renew that same equipment for the next semester.***
What are your
new
accommodation requests this semester? (New accommodation requests are those which we haven't talked about before.)
Our team will review your new accommodation requests and reply to your okstate email address with approval status within two (2) business days.
What accommodations are you requesting this semester that are a
combination
of previously approved accommodations plus new accommodations we haven't talked about before?
Our team will review your new accommodation requests and reply to your okstate email address with approval status within two (2) business days.
Accommodation Letters
Our team confirms and approves the accommodations to be provided through Disability Accommodation Letters. These Accommodation Letters notify your instructors on what accommodations to provide and are sent directly to you and your instructors'
okstate email addresses.
Once we agree on accommodations to be provided, we will prepare and send Accommodation Letters for your semester's classes within two (2) business days of approval if you are enrolled in classes that have already started.
If you are enrolled in classes that haven't started at the time of your accommodation request, we'll send out your Accommodation Letters approximately one (1) to two (2) weeks before their start date.
Do you need
all
of the accommodations you indicated above in
all
of your currently enrolled classes for the requested semester and year?
Do you need
all
of the accommodations you indicated above in
all
of your currently enrolled classes for the requested semester and year?
Yes
No
Please specify your accommodation needs for the requested semester and year's classes below.
For example:
I need the above indicated accommodations in ENGL 1113 (CRN 12345) only.
I need one specific accommodation for ENGL 1113 (CRN 12345).
I need all of the above indicated accommodations in all of my courses except ENGL 1113 (CRN 12345).
Rights and Responsibilities
I am aware that:
Accommodations are not retroactive and are in effect starting from the date on the Disability Accommodation Letter to the end of that listed semester.
It is my responsibility to submit proper disability documentation to the OSU-OKC Access & Community Impact Office. If I have not submitted proper disability documentation, I will not receive accommodations after my initial semester. I will contact the OSU-OKC Access & Community Impact Office if any issues arise that prevent me from obtaining that documentation.
It is my responsibility to contact OSU-OKC’s Access & Community Impact Office to request accommodations for each semester they are needed. For example, if you received accommodations for the Fall semester and want accommodations again for Spring, you will need to renew your accommodation request through this form after you have enrolled for that semester.
It is my responsibility to contact the OSU-OKC Access & Community Impact Office if I need new accommodation letters due to a class schedule change or instructor change.
I am expected to meet OSU-OKC's essential academic, technical, professional, and behavioral requirements and standards.
If there is a problem receiving approved disability accommodations in my courses, it's a good idea to contact the instructor first, and that I can reach out to the Access & Community Impact Office if talking to the instructor does not resolve the issue.
A complete Disability Services Policies and Procedures document is available on the Access & Community Impact Office website at
https://osuokc.edu/disability/policies
.
I can initiate an appeal of any decision regarding my disability accommodations in alignment with the University's established grievance policies outlined in the Disability Services Policies and Procedures document.
Please click "Submit" to complete your Current/Returning Student Disability Accommodation Request.
Submit