Services for Students with Disabilities

Forms for Faculty & Students

Below you will find links to various forms used by the Center for Academic Success. You may return completed forms to our office in the Prothro Center, Room 124, or via email to su-accommodations@southwestern.edu.

  • Forms for Faculty
    Forms for FacultyFile

    Alternative Testing Information and  Agreement Template for Faculty – Alternative testing can be a reasonable academic accommodation for students with a documented disability per the university’s accommodation process. If there is a student in a course who has been approved for alternative testing accommodations, the faculty member will be asked to submit online an Alternative Testing Agreement that specifies their alternative testing parameters for the course. This document outlines the steps to submit the agreement to the Office of Academic Success and Accommodations and provides a template of the online form. Note: The agreement will be for the course, not for an individual student.

    		Alternative Testing Information for Faculty
    Classroom Recording Agreement – Recording of classroom lectures can be a reasonable academic accommodation for students with a documented disability per the university’s accommodation process. This agreement is intended to clarify the student’s responsibilities with respect the recording of class lectures/discussions once this accommodation has been approved. Classroom Recording Agreement
    Disability-Related Absences Agreement – This is a form for students to complete in conjunction with their faculty. The Associate Director of Academic Success is available to facilitate the process.

    Disability-Related Absences Agreement

    Disability-Related Flexibility with Deadlines Agreement – This is a form for students to complete in conjunction with their faculty. The Associate Director of Academic Success is available to facilitate the process. Disability-Related Flexibility with Deadlines Agreement
  • Forms for Students
    Forms for StudentsFile

    Applying for Services – Students initially apply for accommodations through an online application and in accordance with the procedures outlined in this document. The online  application is the first step in requesting accommodations at Southwestern.

    		Procedures for Students Applying for Accommodations

    Activating Accommodations – Each semester, students need to activate their approved accommodations for their classes. These procedures outline how to do this. 

    		Steps to Using Approved Accommodations for Classes

    Classroom Recording Agreement – Recording of classroom lectures can be a reasonable academic accommodation for students with a documented disability per the university’s accommodation process. This agreement is intended to clarify the student’s responsibilities with respect to the recording of class lectures/discussions once this accommodation has been approved.

    		Classroom Recording Agreement

    Disability-Related Absences Agreement – This is a form for students to complete in conjunction with their faculty. The Associate Director of Academic Success is available to facilitate the process.

    		Disability-Related Absences Agreement

    Disability-Related Flexibility with Deadlines Agreement – This is a form for students to complete in conjunction with their faculty. The Associate Director of Academic Success is available to facilitate the process.

    		Disability-Related Flexibility with Deadlines Agreement

    Documentation Guidelines – Part of the process for applying for accommodations is the submission of medical documentation that substantiates the presence of a disability under the Americans with Disability Act (ADA). Such documentation must adhere to the guidelines summarized in this document.

    		Documentation Guidelines

    Emotional Support Animals (ESAs) – Students with a documented disability may be eligible for an assistance animal as a reasonable accommodation in housing facilities that otherwise impose restrictions or prohibitions on animals. This policy and associated healthcare provider form are intended to specify procedures for requesting an ESA, determining whether the presence of an ESA is reasonable, and specifying the student’s responsibilities for the custody and care of the animal if an ESA is approved.

    		Emotional Support Animals (ESAs)
    Exam Agreement by Students – All students with approved testing accommodations who use the Office of Academic Success and Accommodations (OASA) for exam completion should have this form on file with the OASA. Student Testing Agreement
    Exam Scheduling by Students – These are the step-by-step procedures on how to schedule exam completion in the Office of Academic Success and Accommodations. Note: Students must have an account in the Accessible Information Management (AIM) System in order to do this.   Scheduling Exam Completion in the Center for Academic Success
    Housing Accommodations – Students with a documented disability may be eligible for certain reasonable housing-related accommodations in housing facilities. This healthcare provider verification form is intended to gather healthcare information needed by the Office of Academic Success and Accommodations to make recommendations for reasonable accommodations for implementation by Residence Life/Student Housing.  Housing Accommodations
    Request and Authorization to Disclose Information (FERPA) - Through this form, the student can authorize the release of specific information to the listed person(s). This disclosure of information is limited to those items authorized on the form, and the release expires at the end of the academic year. Request and Authorization to Disclose Information (FERPA)