AAC Online Accommodation Term Renewal Request
Name
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First Name
Last Name
Student ID#
Date of Birth
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Month
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Day
Year
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Phone Number
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Format: (000) 000-0000.
Waldorf Email
example@example.com
Alternate Email
example@example.com
Preferred Contact Preference
Phone
Waldorf Email
Alternate Email
I have previously completed an Initial Accommodations Request and have been granted these specific accommodations for online classes in previous terms at Waldorf University based on a diagnosis of a disability. (initial)
I would like to request the following accommodations for my next term. (initial)
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Extended testing time
Audio textbooks
Use of calculator
Course work extension time
List the courses that you would utilize these accommodations in.
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Course # | Course Name | Professor | Dates
Acknowledgement of Services
I understand that I need to request these accommodations in a timely manner so that they may be implemented and my professors may be notified. Failure to do so may result in a delay in accommodations or in some circumstances not being able to utilize accommodations. I understand that the Disabilities Specialist at Waldorf University will review this request and my paperwork on file to determine if these accommodations are applicable for these courses. I also understand that I will receive a statement of agreement of accommodations from the Disabilities Specialist and a copy of the letter outlining my accommodations to my professor(s). If I find that my accommodations are not meeting my needs during this term I know that I can contact the Disabilities Specialist and discuss options to be approved to meet my needs. If I would like to request accommodations I have not been approved for previously I understand I am required to contact the Disabilities Specialist directly and cannot request those on this form.
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