Accessibility Resources Office Accommodation Request Form

* indicates a required field

Student Information

Please enter your information.
Begins with 701.
DOB
Please use your university issued email address.
Are you enrolled at the branch campus (Queensbury)?Required
Are you enrolled in a fully online program of study?Required
Are you enrolled in another Access & Opportunity Program? If yes, please select from the following options:

Specific Accommodation Information

Are you seeking Title IX supports?Required

The Title IX Office ensures equitable treatment and provides support for issues related to discrimination on the basis of sex including sexual harassment and gender-based violence within the University community. This includes free assistance with accommodations and supportive measures following an experience of sexual harassment, sexual assault, domestic/dating violence, and stalking to maintain or restore a student’s access to their educational program and activities. The Title IX Office offers campus and community resources, reporting options for grievance procedures, prevention education, and connects students with advocates. In addition, the Title IX Office provides support and accommodations for pregnant and parenting students. Checking yes to this question will prompt our campus Title IX Coordinator to reach out to you to make an appointment to discuss options for support and accommodations.

We will review these during the initial intake meeting.
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Have you utilized any accommodations in the past?

Upload Supporting Documentation

Supporting Documentation Guidelines

Documentation Guidelines for Title IX-

Verification of referral from the Title IX Office is required for accommodations related to pregnancy, parenting, related conditions, and/or other general Title IX supports. No further documentation is required.

Documentation Guidelines for ARO-

Provide the ARO with support documentation. Documentation should provide proof of diagnosis that meets the Americans with Disabilities Act (ADA) guidelines. Where applicable, documentation should also include information related to any prior accommodations that the student has received.

Examples of support documentation you may submit:

  • IEP/504 Plan
  • Psycho-educational or neuropsychological evaluation
  • Letter from a healthcare provider, on office letterhead, that indicates the student’s diagnosis
  • Patient diagnostic summary

Helpful Information

It is important, but not required, that the support documentation includes information that can assist us in determining the best accommodations and support services that you may need. Some helpful information includes:

  • Information about the impact that disability may have on one or more major life activities
  • The impact of the disability in the academic setting
  • What accommodations that the provider recommends to best support the student in the academic setting
  • Treatment that is currently being provided

If you do not have access to documentation, have never received accommodations, or you are seeking a referral for an evaluation, contact us at ARO@plattsburgh.edu for support and guidance.

Release of Information

ARO: Release of Information

I give the Director of the Accessibility Resources Office (ARO) and the appropriate ARO representatives, permission to discuss relevant aspects of my disability as it impacts academic progress with faculty as deemed necessary. I understand that I will be notified every time an inquiry is made on my behalf.

Parent(s)/Guardian:

I give the Director of the Accessibility Resources Office permission to discuss relevant aspects of academic progress and/or college adjustment with my parent(s)/guardian as they deem necessary. I give permission for the appropriate Student Accessibility Services representatives to speak to the following parent(s)/guardian: