Initial Accommodation Request

* indicates a required field

Student Information

Please enter your information
Examples: she/her, he/his, they/them, zi/zir

Prospective, newly admitted, and transfer students can create a case file and submit documentation only after receiving a NetID. For general inquiries prior to receiving a NetID, please contact the Sara Bea Center at 574-631-7833. Please be aware that we cannot determine accommodations until a student is currently enrolled.

Please use your university issued email address
Have you had an IEP or 504 plan in your K-12 education?
Are you a Graduate Student?

Specific Accommodation Information

{"display_name":"My diagnosed disability","hidden_field_name":"ms_field_1","init_id":"ms_field_1","init_link":"","has_autocomplete":false,"has_hierpicklist":null}
Please indicate any assistive technology you use

Please indicate any personal device(s) or service animal you use

Sara Bea Accessibility Services seeks to provide reasonable accommodations which remove barriers that keep students with disabilities from fully accessing the opportunities offered by the University

What barriers do you experience, related to your disability, that impede your equal engagement? 

*If your request is Covid-Related, please explain how Covid-19 would prevent your full participation on campus this fall. Or describe your specific request. Otherwise, answer the question above. 

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Acknowledgement StatementRequired

I acknowledge that my registration status and active academic accommodation status may be shared with advisors and deans; my housing accommodation status may be shared with Housing and Residential Life staff.