Public Accommodation Request

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Student Information

Please enter your information
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Please use your university issued email address
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If your parent or guardian discovered OALA, how did they do so?

Accessibility Specific Information

Note: There is variability within each diagnosis category, and therefore, the type of accommodations needed can vary significantly. Student needs vary according to each individual. Therefore, it is important for the student to clarify the particular accommodations she or he requests.
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(date, duration, etc. as applies)
Verification & Release Information(Required) *

I give permission to the staff of the Office of Access and Learning Accommodation to contact my parents and/or legal guardian, my diagnosing healthcare professional(s), and/or prior educational institutions in their attempt to verify my eligibility and need for accommodations. I understand that my academic, medical, and/or psychological records provided in support of my requests for accommodations, and other records created or received by OALA concerning me, may need to be provided by OALA or will be accessible by other Baylor faculty or staff member involved in assisting me or Baylor in processing these requests, in implementing accommodations or in compliance with ADA Title III and/or Section 504.

Disclosure & Documentation Information(Required) *

By completing this intake application, I am voluntarily disclosing a disability and requesting accommodations. I understand that disclosure of my disability at this time does not necessarily confirm my eligibility status for services or accommodations. I also understand that the verification process may take several weeks or longer, depending upon the appropriateness and currency of the documentation submitted.