Student Intake Form
This is a secure, online request form for disability accommodations.
Reasonable accommodations are considered for students with a documented disability, under the Americans with Disability Act, as amended in 2008, to allow equal access to academic programs, activities, and services. Accommodations are determined by a student’s self-report, official medical documentation describing the current functional limitations a disability has on learning and life activities, and essential course and program elements.
To receive academic accommodations from Bellevue University you must register with the Accommodations Resource Center (ARC). To register you must provide official documentation from a licensed professional and complete this request form. A link to guidelines for documentation can be found below.
Please note ADA accommodations are not retroactive. They cannot be backdated and applied to previous work. They become effective once ARC sends notification to your professor(s).
All paperwork must be received before ARC can review your file to determine appropriate academic accommodations. If the appropriate professional is not immediately available, you can provide ARC with any unofficial diagnostic or medical documentation in your possession and ARC can consider the possibility for 45-day provisional accommodations to allow you time to collect appropriate documentation.
Once all paperwork is reviewed, an email will be sent to you that outlines proposed accommodations. You must give approval of the accommodations before your professor(s) are notified.
Your disability file is kept separate from your other University records. Other University officials who have a legitimate educational interest must contact ARC in order to access the file. Disability information is not included when notifying professor(s) of approved accommodations.
If you have documentation available to upload, you can upload it on this form.
If you have any questions about this form, please contact the Bellevue University Accommodations Resource Center at disability@bellevue.edu.
Reasonable accommodations are considered for students with a documented disability, under the Americans with Disability Act, as amended in 2008, to allow equal access to academic programs, activities, and services. Accommodations are determined by a student’s self-report, official medical documentation describing the current functional limitations a disability has on learning and life activities, and essential course and program elements.
To receive academic accommodations from Bellevue University you must register with the Accommodations Resource Center (ARC). To register you must provide official documentation from a licensed professional and complete this request form. A link to guidelines for documentation can be found below.
Please note ADA accommodations are not retroactive. They cannot be backdated and applied to previous work. They become effective once ARC sends notification to your professor(s).
All paperwork must be received before ARC can review your file to determine appropriate academic accommodations. If the appropriate professional is not immediately available, you can provide ARC with any unofficial diagnostic or medical documentation in your possession and ARC can consider the possibility for 45-day provisional accommodations to allow you time to collect appropriate documentation.
Once all paperwork is reviewed, an email will be sent to you that outlines proposed accommodations. You must give approval of the accommodations before your professor(s) are notified.
Your disability file is kept separate from your other University records. Other University officials who have a legitimate educational interest must contact ARC in order to access the file. Disability information is not included when notifying professor(s) of approved accommodations.
If you have documentation available to upload, you can upload it on this form.
If you have any questions about this form, please contact the Bellevue University Accommodations Resource Center at disability@bellevue.edu.