Waldorf University is committed to providing appropriate accommodations to students with disabilities. These accommodations are provided to assist students with disabilities in accessing their college education at Waldorf University. The student working in conjunction with the Disabilities Specialist will create an appropriate plan for services that includes reasonable and appropriate accommodations. A student with a disability must submit documentation to verify the presence of a disability and request services each semester.

 

I understand that the staff of the Academic Achievement Center (AAC) at Waldorf University will have access to my file maintained in the AAC, as well as to academic and other records at Waldorf University. I also understand that in order to meet my educational needs and access my accommodations, it may be necessary for AAC staff members to contact other campus personnel/departments and disclose personal information about my disability, but only on a need to know basis. By completing this form, I consent to such disclosure by the AAC.

 

I further authorize the AAC to release information regarding my disability, accommodations and academic standing to the following initialed individuals.

The staff in the AAC agrees to keep all information you share with us confidential, with the exception of the individuals listed above, unless you authorize the release of this information to another person, agency or educational institution. An exception would be if we are subpoenaed by a court official to disclose such information then we would have to comply with that request.

 

I have read the above statements of services and confidentiality and fully understand the terms and conditions outlined in this document.

I understand that completing this form is only the initial step in the accommodation process. When I am registered at Waldorf University, I understand I will need to meet with the Disabilities Specialist to discuss appropriate accommodations and that these accommodations will need to be reviewed each semester to check legal aspects and to develop letters to the faculty disclosing accommodation requirements. I understand that degree program requirements cannot be altered, academic standards will not be lowered, and that accommodations are not retroactive.

 

I also understand that I am my own advocate. It is my responsibility to request accommodations and to notify instructors of my need for accommodations. I understand that the AAC will also be communicating with my instructors about my required accommodations as well.

 

It is my responsibility to report any concerns I may have regarding accommodations to the Disabilities Specialist in the AAC. Documentation of my disability must be provided to the AAC office before accommodations can be provided. I realize that I may need to obtain additional documentation if I submit documentation that lacks certain required attributes and that some accommodations may not be able to be granted until the required documentation is obtained.

 

I understand upon transferring to another educational institution. It is my responsibility to consult with the transfer institution regarding their documentation requirements and it is my responsibility to obtain additional documentation the transfer institution might request.

 

I affirm that the information contained in this form is true and accurate to the best of my knowledge. If any information changes, I will notify the Disabilities Specialist immediately.

Send your diagnostic documentation with suggested accommodations to:

Disabilities Specialist
Waldorf University
106 S. Sixth St.
Forest City, IA 50436

 

Or fax to:641.585.8125 - Attention of the AA
COr email to:aac@waldorf.edu