Jacket Accommodation Request

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Student Information

This form is to be completed by the student to the best of their ability. If you require assistance with completing this form, please contact BHSU Disability Services. Please provide as much information as possible before you're meeting with the Disability Coordinator.

Please use your university issued email address

Specific Accommodation Information

My diagnosed disability falls into the following categoryRequired
Upload supporting document(s)

To ensure appropriate and effective accommodations, the Office of Disability Services at Black Hills State University requires supporting documentation from qualified professionals (e.g., licensed psychologists, physicians, etc.) and/or psycho-educational testing reports. This documentation helps us understand your specific needs and determine the most suitable accommodations for your academic success.  We understand that the documentation process can vary depending on individual circumstances. We encourage you to initiate an interactive process with our office to discuss your specific needs and documentation requirements. This collaborative approach allows us to work together to determine the most appropriate and effective documentation to support your requested accommodation/s.