Friends University ADA Services/Emotional Support Animal Student Intake Form Logo

  • Friends University ADA Services Intake Form

  • Please complete sections titled "Personal Information" and "Requested Accommodations."

    Physically apparent disabilities require no additional documentation, although it may be helpful in determining specific accommodations.

    All other disabilities require documentation from a physician or counselor/therapist who has a history of treating you for your condition, documentation of a diagnosis, or an EIP from highschool, etc.

    Specifically for ESA (emotional support animal) approval, the letter from a physician or counselor/therapist must include something about the length and general nature of the therapeutic relationship, specific symptoms experienced, and how the animal helps alleviate the symptoms. (Letters purchased from an online source where you had only one conversation with the practitioner are not sufficient documentation by themselves.)

    For everyone, the section titled "Additional Information" is optional and will not affect the approval of accommodations in any way.

    There will also be an opportunity to schedule an appointment at the end. A one-on-one conversation with ADA staff is a part of the approval process for both accommodations and ESAs. You may either use the link to request an appointment, stop by our office to set an appointment, or call our office to arrange a time.

    Please click next to begin.

  • Personal Information

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  • Requested Accommodations

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  • After reading and signing the affirmation below, please go to the Disability and Accommodation Disclosure Release Form link (opens in a new tab) and complete that form as well. Your application will be completed when both this form AND that form are submitted.

    By signing below, I certify that I understand the goals of this program and that participation is optional. I authorize the staff to use my student records to assist in providing program services. I also understand it is my responsibility to arrange accommodations with my instructors. If I am having difficulty with accommodations, it is my responsibility to notify ADA Services as soon as possible. It is also my responsibility to notify ADA Services of any changes I make to my schedule. 

  • By signing below, I certify that I understand my responsibilities for caring for my ESA and the rules of where my ESA can go on campus and what my ESA can and cannot do. I also understand that my ESA approval may be revoked if my ESA creates a dangerous or disruptive environment for other students, service animals, or other ESAs. (Accessibility note: the field below will record cursor movements that will be considered your signature.)

  • Additional Information

  • The following information is strictly voluntary. Its purpose is to provide us with data that may help us to improve our ability to provide you with services. It may also be combined anonymously with information from other students to contribute to educational research. None of your answers will in any way affect your eligibility for services. Please feel free to leave any or all of these questions unanswered.



  • Thank you! Always feel free to reach out to the ADA director or staff with any questions or concerns.

    (316)295-5522

  • If you still need to schedule an appointment to meet with a staff member, you will be given opportunity after you click submit.

  • Thank you! Always feel free to reach out to the ADA director or staff with any questions or concerns.

    (316)295-5522
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