Academic Accommodations Form

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  • DISABILITY INFORMATION

    Disability is defined by the ADA as “a physical or mental impairment that substantially limits one or more of the major life activities, a record of such an impairment or being regarded as having such an impairment.”

  • ACCOMMODATIONS
  • This application and any relevant documentation must be submitted to Disability Services Office and an intake interview completed in order to receive academic accommodations. During this meeting we will discuss services for which I am eligible. The information submitted to Disability Services Office is confidential. I know that the information submitted to Disability Services Office WILL NOT be placed in my academic records. I understand that admission to Eastern New Mexico University-Roswell is a separate process and is completed through the office of Enrollment Services
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  • Authorization to discuss documentation with providers In order to explore possible coverage and reasonable accommodations, it is often necessary for the director of Disability Services Office to discuss the documentation the student has submitted with providers such as licensed physicians, psychologists, or other qualified professionals. I hereby give permission for the director of Disability Services Office at Eastern New Mexico University-Roswell to exchange information regarding the documentation I have submitted with my provider(s) (physician, psychologist, or other qualified professional). I understand that my refusal to authorize consent may result in a denial of accommodations.
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