Student Intake Form

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Student Information


SAS provides disability-related accommodations to students who are qualified and self-identify with the office. These services may include classroom accommodations, testing accommodations, and the use of auxiliary aids. We also work closely with other offices to facilitate these accommodations.


To qualify to receive services in our office, a student must meet a set of minimum standards. These standards help us to make sure we are providing the most reasonable accommodations for the assurance of equal access. The minimum qualifications are listed below:

·        Presence of a disability

·        Self-identification

·        Documentation



  1. Complete this form and provide documentation to the Office of Student Accessibility Services. The documentation must be current and substantial in nature. Guidelines for documentation are listed on the "Documentation Guidelines" page.
  2. If the documentation is not sufficient, we will notify the student of what is needed. The student is responsible for the costs of providing any needed documentation. Once we have received all required documentation, the request for accommodations will be reviewed on an individual case-by-case basis.
  3. If documentation is sufficient, we will set up an intake appointment to discuss an accommodation plan. We will also discuss other resources that are available on campus that provide academic assistance.
  4. The student is now registered in the Office of Student Accessibility Services and will begin the process of receiving accommodations every semester. 
Voter Declaration FormRequired

Please download the Voter Declaration Form here. Please complete it, sign it, and upload it in the Upload supporting document(s) section below before you submit this Student Intake Form. Please be aware that this page will time out after about 50 minutes, so complete this step first before you start filling out information on this page.

Please enter your 7-digit numerical ID without the W in front.

Please use your @selu email address. Do not use any other personal email address.

Do you receive Vocational Rehabilitation services?Required
Are you registered to vote?Required
Do you need assistance in the event of a hurricane or severe weather?Required
Will you need accommodations/assistance for commencement?Required

Specific Accommodation Information

Please state your diagnosed disability(ies) and date of most recent diagnosis.

Please provide the name and contact information of the Medical Professional(s) treating the impairment(s) stated above.

Please list any accommodations previously received and where you received the accommodations. If you have not previously used accommodations, please write "not applicable."

Upload supporting document(s)

Documentation guidelines are available on our website. Please note: the documentation must be current (within the past 1-3 years) and substantial in nature. 

Policy AcknowledgementRequired

Students are required to read the Student Accessibility Services Practices and Procedures. Checking below confirms that you have read this document.