This form should be completed by the student requesting an accommodation. Students that have a documented disability or a health concern that requires specific housing arrangements may request a reasonable accommodation in housing. Students should complete all of the following to request this accommodation.
Contact Disability Services at
or 812-488-2663 to schedule an appointment with a Disability Services staff member to review the request and process for registering with Disability Services.
Any student requesting a housing accommodation will be required to submit supporting documentation from a licensed healthcare professional.
Complete and submit this form, which will be shared with Disability Services and Residence Life staff.
Indicate accommodation needs on your application for housing.
This will be reviewed by Disability Services in consultation with the Office of Residence Life. All information submitted will be treated as confidential. The University's evaluation of these requests is based on the severity of the condition, the timing of the request, and the feasibility and availability of modifications of space requested.
Note: Requests for single rooms as an accommodation based solely on a desire to have a "quiet, undisturbed place to study" are generally not granted. The University provides quite study areas in the residence halls and in the library.
Requests should be submitted as early as possible to allow adequate time to make arrangements or modifications as appropriate. Requests for emotional support animals can take up to 30 days from the date that requested documentation is received to review and determine if the request is approved.