Student Accommodation Request

* indicates a required field

Student Information

Please enter your information below. The STUDENT should complete this entire form, not a representative of the student. It is best to submit this request form AFTER you have committed to attend SMU.

Submit ALL of your supporting documentation at the bottom of this form. CAUTION: Please avoid faxing documentation since most/all staff are working remotely.

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PLEASE USE YOUR SMU EMAIL ADDRESS.
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ex: Fall 2020
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ex: Fall 2020 or Spring 2021

Section 1: Health and Accommodation Information

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ex: Learning Disorder, ADHD, Epilepsy, Arthritis, Major Depressive Disorder, etc.
year, age, or grade
Please include whether you had accommodations in HS, other colleges, etc. and what those accommodations were. Be sure to attach that plan with your documentation.
Did you receive any accommodations on a standardized test, such as ACT/SAT/LSAT/GMAT? (Required) *
If yes, please attach documentation of the approved accommodations at the bottom of this form.
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Be as specific as possible, describing the actual request, not just the category (for example, request first floor residence hall vs. "housing"). Lack of detail may slow down the review of your request.

For a list of commonly requested accommodations, please visit our website.

Are you requesting a housing-related accommodation?(Required) *

Section 2: Impact

Please describe in your own words any ways in which your disabilities impact you in the following areas. Be as thorough as possible, and do not copy/paste from your medical report or simply state "see medical report". We want to hear the student's description of the impact in each area of functioning. Lack of detail could slow down the review of your request! If not relevant to your condition, type N/A. 

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Including: impact in reading, writing, math, spelling, listening, and note taking.
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Including: impact in organization, time management, memory, concentration, and managing distractions.
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If requesting extended time for tests, be elaborate and specific in this section about how your disability impacts your speed of processing.
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Including: managing stress, frustration tolerance, and social interaction.
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Including: walking, talking, hearing, seeing, sleeping, and writing quickly.

Section 3: Free Response

Please include anything about yourself not covered here or in the documentation you submit.

Section 4: Consent to Release & Documentation

DASS staff may find it helpful to consult with others about your disability and request for accommodations. To grant permission, check “Yes” and list the names of the individual(s) in the field.
Parent(s)/Legal guardian(s)
Diagnostician who diagnosed the disability
Other medical professionals
Include all medical and psychological documentation, school records (high school or other college accommodation plans), or reports. Failure to submit all available records may delay your request. Review our documentation guidelines for more details.