Wayne State College federal law, a person with a disability is any person who: 1) has a physical or...

Wayne State College

Disability Services Handbook

Dedicated to Student Success

Library 232

Holland Academic Success Center 402-375-7496

https://www.wsc.edu/info/20177/holland_academic_success_center/81/disability_services

2



Table of Contents

1. Disability Services Mission Statement

a. Disability Services Office Functions

2. Federal Law

a. Rehabilitation Act of 1973, Section 504

b. Americans with Disabilities Act of 1990, as amended in 2008

c. US Department of Housing and Urban Development Fair Housing Act of 1968, as amended in 1988

3. Student Code of Conduct

a. WSC Student Handbook

b. WSC General and Graduate Catalog

c. WSC Behavioral Intervention Team

4. Academic Standards

a. Using Exam Modifications

5. Academic Accommodation Policy

a. Student Responsibilities

b. Disability Services staff’s Responsibilities

c. Faculty Responsibilities

d. Review (appeal) Process

6. Hearing Impairment

a. Services Provided

i. Technology Support

b. How to Request Services

c. Attendance Protocol

i. Interpreter Scheduling/Notification ii. No-Show

Warning

d. Resolving Problems

7. Housing

a. Accessible Residence Halls

b. Service Animals

c. Reasonable Modifications

Disability Services Handbook 3

8. Attachments

a. Accommodation Request Form

b. Temporary Conditions Accommodation Request Form

c. Interpreter Service Request Form

d. Exam Accommodation Request Form

e. Campus Resource Page

MISSION

It is the mission of the Wayne State College Disability Services program to assist students with disabilities in

reducing physical, programmatic and attitudinal barriers that might otherwise impede a student's success

at Wayne State College (WSC). It is the goal of the WSC Disability Services Program to provide WSC

students with disabilities with an equal opportunity to participate in the educational process and campus

life of Wayne State College. The goal will be achieved through the provision of disability-related academic

and personal support services.

FUNCTIONS

The Disability Services Program is housed in the Holland Academic Success located in the Library 232.

Disability Services core functions take into consideration the diverse nature of the impact of disabilities

within the educational environment as well as the availability of college resources. The core functions of

Disability Services are noted below.

1. Determining Student Eligibility for Disability-Related Accommodations and Services The staff meets

individually with students to verify eligibility for accommodations/services and to assess individual

needs. Written documentation of disability is requested, reviewed and evaluated prior to determining a

student's eligibility for accommodations/services. The staff will obtain and review written

documentation of disability, determine eligibility for coverage under Section 504 and the ADA,

determine the student's understanding of his/her disability, determine what disability services have

been used previously, assess how/if the student's disability affects his/her access to WSC's academic,

cultural, and recreational activities. Arrangements can be made to re-assess students when needed.

2. Referral to Appropriate Campus/Community Resources

Following a determination of the student's eligibility, additional information is gathered from and provided

to the student. Referrals are made to appropriate campus and/or community services. The staff will explain

the student's rights as individual with a disability, inform him/her of eligibility for accommodations/services,

recommend an appropriate combination of accommodations and services, refer to specific

campus/community resources, and then follow-up to determine student use and satisfaction.

3. Responding to Requests for Physical and Program Access and Accommodation

The following information will be considered to determine the effectiveness and appropriateness of

accommodation requests:

a) The individual with the disability.

b) Educational impact of disabling conditions.

c) The campus environment.

The staff will directly consult with a wide variety of WSC staff in order to determine the appropriateness of

a student's request for accommodation. The staff will identify the source of problems/concerns related to

disability, consulting with individuals involved, develop a range of possible accommodations, provide direct

services to students, and refer to other offices when appropriate. Students will be encouraged to address

problems/concerns, follow recommended actions, policies or procedures to resolve identified issues.


Federal Law

Section 504 of the Rehabilitation Act of 1973

Title V of the Rehabilitation Act of 1973 is generally regarded as the first federal "civil rights" statute for

people with disabilities. Title V mandates nondiscrimination in federal agencies (Section 501) and the

establishment of the Architectural and Transportation Barriers Compliance Board (Section 502). Of most

direct importance to the postsecondary education community are Sections 503 and 504.

Section 503: Section 503 prohibits discrimination on the basis of disability in employment in institutions

that receive federal funding. Section 503 is not an affirmative action statute and does not include a

requirement to give preference in employment to qualified people with disabilities. Section 503 does,

however, include a mandate to actively encourage application and consideration for employment of

disabled candidates.

Section 504: Section 504 of the Rehabilitation Act of 1973 is a program access statute that is designed to

ensure that programs receiving Federal funding be accessible to students with disabilities. The legislation

states that:

"No otherwise qualified handicapped individual in the United States shall, solely by reason of his

handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination

under any program or activity receiving Federal Financial Assistance..."

It is this Section 504 mandate that has prompted the development of disability support services and

programs in colleges and universities across the United States. Subpart E of Section 504 deals specifically

with postsecondary educational institutions. Although it does not require special educational

programming be created for disabled college students, it does require that an institution (public or

private) be prepared to make appropriate adjustments and reasonable modifications to policies and

practices in order to allow the full participation of students with disabilities in the same programs and

activities available to nondisabled students.

Tests which the institution uses must not discriminate against students with disabilities. Tests must be

selected and administered so that the results for students with impaired sensory, manual, speaking

and/or information processing skills are not distorted and so that the tests accurately measure the

student's achievement or knowledge level rather than his/her disability. Thus, academic ability must be

the sole basis for participation in postsecondary education.

In order to ensure equal opportunity, the overall postsecondary educational experience of a student

with a disability must be comparable to that of his/her non-disabled peers. This may necessitate

different treatment in some situations.

ACCESSIBILITY: THE KEY TO EQUAL OPPORTUNITY


Americans with Disabilities Act of 1990, amended in 2009

Assurance of equal educational opportunity rests upon legal foundations established by federal law,

specifically the Rehabilitation Act of 1973 including Section 504, and the Americans with Disabilities Act

(ADA) of 1990 as amended in 2008. By federal law, a person with a disability is any person who: 1) has a

physical or mental impairment; 2) has a record of such impairment; or 3) is regarded as having such an

impairment which substantially limits one or more major life activities such as self-care, walking, seeing,

hearing, speaking, breathing, or learning.

Every student with a documented disability has the following rights:

• Equal access to courses, programs, services, jobs, activities, and facilities available through the

college or university.

• Reasonable and appropriate accommodations, academic adjustments, and/or auxiliary aids

determined on a case-by-case basis.

• Appropriate confidentiality of all information pertaining to his/her disability with the choice of

whom to disclose their disability except as required by law.

• Information reasonably available in accessible formats.

The US Department of Education provides guidance for the implementation of The Americans with

Disabilities Act (ADA) as amended in 2008. The guidelines are in the form of Dear colleague Letters,

Question and Answer statements, and familiarity with the Office of Civil Rights which enforces civil rights

laws for programs or activities that receive Federal Funds from the Department of Education.

http://www2.ed.gov/policy/rights/guid/ocr/disability.html

DOCUMENTATION Students requesting accommodations MUST PROVIDE DOCUMENTATION regarding their disability. This documentation should identify how the disability impacts the learning process. Guidelines regarding documentation can be found at: https://www.wsc.edu/info/20177/holland_academic_success_center/81/disability_services

Personal needs such as assistance with meals, homework, toileting, personal hygiene, etc. are the

exclusive responsibility of the student. These are not included as reasonable accommodations under

the law.

ACADEMIC ACCOMMODATION A reasonable accommodation is a modification or adjustment to a course, program, service, job, activity,

or facility that enables a qualified student with a disability to have an equal opportunity. An equal

opportunity means an opportunity to attain the same level of performance or to enjoy equal benefits

and privileges as are available to a similarly-situated student without a disability. The college is obligated

to make a reasonable accommodation only to the known limitations of an otherwise qualified student

with a disability.




http://www.wsc.edu/counseling_center/disability_services/accomodations/policy/

http://www.wsc.edu/counseling_center/disability_services/accomodations/policy/



U.S. Department of Housing and Urban Development Fair Housing Act of 1968, as amended in 1988 http://portal.hud.gov/hudportal/HUD?src=/program_offices/fair_housing_equal_opp/FHLaws/yourright

s

Students may request reasonable accommodations to residence hall rooms or common use areas for

health and safety reasons. These accommodations can include but is not limited to the addition of

alternative alarm systems in student rooms, and safety bars, changing tables, etc. in restroom facilities.

Students with visual impairments or other documented disabilities are allowed to keep service animals

in their residence hall room.

ACCOMMODATION DECISION MODEL

http://portal.hud.gov/hudportal/HUD?src=/program_offices/fair_housing_equal_opp/FHLaws/yourrights






Student Code of Academic and Behavioral Conduct

WSC Student Handbook available on line:

http://www.wsc.edu/catalogs_publications/student_handbook/student_handbook.pdf

Students are responsible to obey the laws of the state and nation, the regulations and policies of the

Nebraska State College System Board and of the Colleges; and to refrain from any conduct injurious to

themselves, to others, or to the reputation or interests of the College. (Board Policy 3100)

http://www.nscs.edu/policy-manual.htm

WSC General Catalog Student’s Responsibility Statement: Students are expected to read the regulations of the College and to

conform to them. The student, not the College or a member of the faculty, is primarily responsible for

meeting requirements for a degree.

Registration and payment of fees imply an agreement by the student to conform to regulations of the

College. Students failing to meet current obligations to the College, financial or otherwise, may be

denied a degree or transcript.

http://www.wsc.edu/catalogs_publications/general_course_catalog/gen_catalog.pdf

WSC Disability Services on the Web Student Handbook description of Disability Services is available online


More detail is available on the WSC Disability Services website


WSC Behavioral Intervention Team Wayne State College is committed to providing a safe educational environment for all students and

employees. The Behavioral Intervention Team (BIT) serves as an information clearinghouse and early

intervention vehicle to assess and manage potentially dangerous situations and to assist students

experiencing difficulty. The team also serves as a resource to faculty, staff, and students who may have

a concern about another member of the campus community. Referrals to the BIT may be made by any

member of campus community by contacting the Dean of Students. Information received will be

handled confidentially, with the purpose of assisting the student, faculty, or staff person named. The

regular meetings allow each part of the team to react in a timely manner to campus issues.

















The Behavioral Intervention Team (BIT) members include Campus Security, Wayne Police Department,

Counseling, Residence Life and Student Services representatives.

Protection of Academic Standards

Use of Exam Modifications for College Students with Disabilities

Measurement of student learning in the classroom is an essential component of the educational process.

However, not all students can be evaluated fairly using standardized testing procedures. For students

with disabilities, modifications in general testing procedures may be needed.

Students of average or above average ability may have any of a variety of conditions that substantially

impact the usefulness and accuracy of generally used measurement instruments. Disabilities, including

dysfunctions of hearing, learning, vision or mobility can interfere with a student's ability to manage

exam instructions, materials or mode of response. For these students, the use of modified testing

procedures; adapted for the individual, provide a more fair and accurate means of measuring student

learning.

Exam accommodations must not compromise academic standards. Otherwise stated, modifications

must not give the student a competitive edge. Rather, the modification must eliminate a competitive

disadvantage that results from the interaction of the testing procedures and the student's disability. The

objective of appropriate accommodations is to provide the instructor with a means of evaluating the

student's understanding of content rather than his or her functional limitations.

At the outset of a semester, both the student and the instructor may be uncertain about how to

determine and provide appropriate accommodations. They may even be unsure whether a proposed

exam modification is warranted. The determination of exam modifications that are reasonable and

mutually agreeable does not lend itself to strict policies and regulations. Specific information about the

student's disability, the course requirements, and the method of evaluation must all be considered

when designing modifications.

Faculty members are encouraged to consult with campus Disability Services staff regarding the need for

exam modifications. The staff are typically knowledgeable about the individual and the disability, have

access to the confidential information necessary to make a determination of the appropriateness of an

exam modification, have experience in determining/recommending specific modifications and thus can

provide approaches that are both fair and equitable.

The following statement is an example of the type of announcement that can be made at the first few

class sessions of each semester and can be included in print as a standard part of the course syllabus:


If you need academic accommodations because of a disability, please inform me as soon as possible. See me privately after class or during my office hours for a confidential conversation. To request accommodations, students must first consult Julie Bose located in the Holland Academic Success Center, Library 232 or by calling 402-375-7496 or email [email protected]. The Disability Services staff is responsible for reviewing documentation provided by students requesting accommodations, determining eligibility for accommodations and helping students request and use appropriate accommodations.

Although it is the student's responsibility to discuss accommodations with the instructor, some students

are reluctant to do so. The routine use of this statement may encourage hesitant students to approach

the instructor in a timely manner and it also makes the entire class aware that people with disabilities

are an integral part of the campus community.

Early identification of students with disabilities is a substantial advantage, allowing faculty, students and

disability staff adequate time to consult, determine the appropriateness of and arrange any classroom

modifications needed. Through the joint efforts of the student, the instructor and the appropriate

campus staff, fair and equitable accommodations can be arranged which do not compromise academic

standards.

ACADEMIC ACCOMMODATION POLICY Wayne State College (WSC) is mandated to provide equal opportunity for individuals with disabilities as

indicated in Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA)

of 1990 and as amended by the ADA Amendments Act of 2008. An academic accommodation or

modification is sometimes needed to ensure that a qualified student with a disability has an equal

opportunity to access and benefit from a course or educational activity. However, academic

accommodations must not compromise the college’s academic standards.

At WSC, the academic accommodation process involves a partnership between the student, the WSC

Disabilities Services staff, and the faculty member. Each has a specific role to play and responsibilities to

uphold.

Student Responsibilities: The student’s role is to make his/her disability known and to request assistance.

1. Provide recent medical, psychological, psychoeducational, or neurological documentation to the

Disability Services Office. Documentation should be from an appropriately licensed professional

which identifies the disability and, whenever possible, provides suggested accommodations.

2. Complete the Disability Accommodation Request Form and receive approval from the

Disabilities Services staff for academic accommodations prior to requesting an accommodation

from a course instructor.


3. Request disability related academic accommodations in a timely manner. This may include

contacting the Disabilities Services staff to arrange exam accommodations.

4. Meet the time limits and procedural requirements established by the Disability Services Office

for providing academic accommodations or scheduling exams. If the student fails to provide

adequate notice of the need for accommodation, he/she remains entitled to the

accommodation, however, the accommodation may be delayed and/or may not be able to be

provided in the fullest measure requested.

Disabilities Services Staff’s Responsibilities: The Disabilities Services staff’s role is to verify the disability and determine the student’s eligibility for

academic accommodations.

1. Determine appropriate academic accommodations using the Disability Accommodation Request

Form.

2. Communicate a student’s eligibility for academic accommodations, upon request.

3. Consult with faculty, staff, and outside professionals regarding academic accommodation

requests that are unusual or complex.

4. Maintain records that verify the disability.

Faculty Member Responsibilities: The faculty member’s role is to provide appropriate accommodations either directly or by making

arrangements with the Disabilities Services staff.

1. Ensure that the requested accommodation does not unduly compromise an essential element or

evaluation standard of the course.

2. Verify that the Disabilities Services staff has approved the requested accommodation.

3. Discuss with the Disabilities Services staff any concerns related to an accommodation or the

arrangements that have been requested by a student with a disability.

4. When the exam is to be administered by someone other than the faculty member, determine

the non-disability related conditions under which the exam is to be completed (e.g., open book,

use of notes, calculator) and provide timely delivery of the exam, along with all necessary

instructions for exam administration.

5. Maintain confidentiality of information regarding students with disabilities.

Accommodation Scheduling: Students eligible for accommodations related to class exams will be accommodated as close to the

scheduled time for the class and/or exam whenever possible. Students will reserve testing times at the

Disability Services Office. During peak times of the semester (i.e., mid-term and finals) it will be


important for students to sign up for their testing appointments as soon as their exam dates and times

are announced in class. Testing time periods will be filled on a first-come, first-served basis. Students

will then be offered the next open testing time that fits their schedule.

Accommodation Appeals: Wayne State College is committed to fair resolution of all requests.

In situations where the appropriateness of a proposed accommodation is unclear, the faculty member or

the student may request a review of the accommodation. The review will be conducted by the Vice

President for Academic Affairs and the Counseling Center Clinical Psychologist. The review committee

will determine whether the requested accommodation is reasonable and appropriate for the student’s

disability and will determine whether the proposed accommodation unduly compromises an essential

element or evaluation standard of the course.



Accommodation

Review: or Faculty

student may request an of review

accommodation.

Disposition decision o

review comm final. All par notified of decision

Individuals who believe they have experienced discrimi

grievance with the Wayne S

Disability Services Staff

Julie Bose

H olland Academic Success Center

L ibrary 232

Appeals Process

Team: The Vice President for

Academic Affairs and the Counseling

Center Clinical

Psychologist constitute the Review Team.

The

.

ADA Compliance Officer

Human Resources

Hahn 2 nd Floor

402 - 375 - 7403

11

The request is reviewed by a team.


402-375-7496


Hearing Impairment

1. Services Offered: Sign Language interpreting will be provided to students with a documented hearing loss.

Interpreters may be offered in-person or via remote interpreting delivered electronically.

a. Technology support: WSC provided technology support services for students relying on electronic

devices to deliver/amplify instruction, connect remote services to student’s personal electronic

device (laptop, tablet, etc.) and provide other supportive functions (e.g., alternative fire alarm).

2. Requesting Service: Interpreter services will be provided for all academic settings directly related to a class

(i.e., Class time, class assignments, instructor-generated review sessions but not peer study sessions).

Check with the Disability Services staff for clarification.

a. Students must meet with the Disability Services staff to request assistance each semester.

b. Students must present a copy of their class schedule as soon after pre-registration as possible to

allow time to arrange interpreter services.

Students who wish to use interpreter services outside of scheduled classes must complete an Interpreter Service

Request Form rather than the more general Accommodation Request Form. The forms are available in the

Disability Services Office or on-line at


c. Completed forms and all other information may be submitted in person, faxed to 402-375-7496 or

sent via mail to [email protected]

d. Exam accommodation requests need to be submitted each semester – see Exam Accommodation

Request Form

3. Attendance Protocol: Students must report class absence to the Disability Services Office and make a good faith effort to cancel need for interpreting services for that class, for the day or time period when an interpreter has been made available but will not be needed (e.g. illness, medical appointment, family emergency, etc.).

4. Resolving Problems: Students are encouraged to resolve problems with the other party in the dispute.

Easy resolution is not always possible.

a. Discuss the conflict with the other party.

b. Students may request assistance from the Disability Services staff to resolve disputes.

c. Students have the right to appeal an accommodation. See appeal description described on

previous pages of this document and/or refer to the WSC Student Handbook and/or the WSC

General Catalog.



Wayne State College Disability Services Accommodation Request Form

Holland Academic Success Center, Library 232, 402-375-7496

This form is your opportunity to describe your disability and accommodations you hope to receive. You may

supplement this form with additional information describing your disability and requested accommodations. (Please

attach additional paper.) You may want to include information about experiences related to your disability, barriers

you faced, and/or previous accommodations (effective or ineffective).

Student Contact Information:

Full Name: _______________________________________________________________________________

Student Identification #: ______________________________ Birthdate: _____________________________

WSC Email Address________________________________________________________________________

Student’s Phone Number(s):_________________________________________________________________ (Home) (Mobile) (Work)

Local Address: ____________________________________________________________________________ (Street) (City) (State)

Permanent Address: _______________________________________________________________________

Emergency Contact: _______________________________________________________________________ (Name) (Relationship) (Phone #)

Year/Term for which you are requesting services: _________________________________________________

Disability Information:

What is your disability or disabilities? __________________________________________________________

________________________________________________________________________________________

In your own words, please describe your disability.________________________________________________

________________________________________________________________________________________


Are you submitting other information or documentation with this form? Yes ___ No___

Potential Accommodations/Adjustments:

What accommodations/services do you hope to receive? ___________________________________________

________________________________________________________________________________________

(Page 1 of 2)

What accommodations/services/assistive technology have you used in the past? ______________________

_______________________________________________________________________________________

________________________________________________________________________________________

Are you currently affiliated with and/or receiving services from any of the following campus offices or programs?

o Student Health o TRIO Student Support Services

o Other

Do you receive services from any of the following agencies?

o Vocational Rehabilitation o Other:

_________________________________________________________________________________

Referral Information:

Who referred you to our office? ______________________________________________________________

________________________________________________________________________________________

Additional Documentation:

Additional documentation should be submitted with this form and can include assessments, reports, and/or letters

from qualified evaluators, professionals, or institutions. Common sources of documentation are health care

providers, psychologists, diagnosticians, and/or information from a previous school (e.g., accommodation

agreements/letters, 504, IEP, or ARD documents). Students are encouraged to submit other disability-related

documentation that will help Disability Services better understand their needs. For more information please refer

to the Documentation Guidelines available on the Disability Services website,


Submitting Information:

Disability Services will consider all relevant information submitted by the student. If you have questions about the

office or the process for requesting accommodations, please contact Disability Services at (402) 375-7496. This form

and all other information may be submitted in person, faxed to (402) 375-7079 or sent via mail to

[email protected].



Comments: ______________________________________________________________________________

________________________________________________________________________________________

I certify that all information I have provided is true and accurate to the best of my knowledge. I understand that

intentionally providing false or misleading information may result in my being ineligible for services and may also

result in disciplinary action by Judicial Affairs.

______________________________________________ _________________________________________

Signature of Student Date

(Page 2 of 2)

Wayne State College Disability Services Temporary Conditions Accommodation Request Form


The Office of Student Disability Services provides accommodations to students with temporary disabilities arising

from injury, surgery, or short-term medical conditions. To receive accommodations for a temporary disability, the

individual must submit a note from either their personal physician or Student Health to our office indicating the

type of disability, limitations, prognosis, and estimated duration. Additionally, the student should contact all

instructors to discuss means of completing class requirements and exams during the period of temporary disability.


Full Name: __________________________________________________________________

Student Identification #:_____________________________ Birthdate: ____________________

Local Address: ___________________________________________________________________

Phone: _________________________ Today’s Date: __________________________________

Course Name: _____________________________________________

Course Number: ___________________________________________

Instructor Name: ___________________________________________

Instructor’s Campus Address: _________________________________

Instructor’s Phone Number: ___________________________________


Date of Exam: ______________________________________________

Approved Accommodations: ___________________________________

If you have questions about the office or the process for requesting accommodations, please contact the Disability

Services Office at 402-375-7496. This form and all other information may be submitted in person or through one of

the addresses below.

Fax:

402-375-7079

Mail: Disability Services

Wayne State College

1111 Main Street

Wayne, NE 68787

E-mail: [email protected]

Wayne State College Disability Services Interpreter Service Request Form


This form is your opportunity to describe your disability and accommodations you hope to receive. You may

supplement this form with additional information describing your disability and requested accommodations. (Please

attach additional paper.) You may want to include information about experiences related to your disability, barriers

you faced, and/or previous accommodations (effective or ineffective).


Full Name: _______________________________________________________________________________

Student Identification #: ______________________________ Birthdate: ____________________________

WSC Email Address________________________________________________________________________

Student’s Phone Number(s):_________________________________________________________________ (Home) (Mobile) (Work)

Local Address: ____________________________________________________________________________ (Street) (City) (State)

Permanent Address: _______________________________________________________________________

Emergency Contact: _______________________________________________________________________


(Name) (Relationship) (Phone #)

Year/Term for which you are requesting services: _________________________________________________

Disability Information:

What is your disability or disabilities? __________________________________________________________

________________________________________________________________________________________

In your own words, please describe your disability.________________________________________________

________________________________________________________________________________________

Are you submitting other information or documentation with this form? Yes ___ No___

Potential Accommodations/Adjustments:

What accommodations/services do you hope to receive? ___________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

(Page 1 of 2)

What accommodations/services/assistive technology have you used in the past? ________________________

________________________________________________________________________________________

________________________________________________________________________________________

Are you currently affiliated with any of the following campus offices or programs?

o Student Health o TRIO Student Support Services

o Other

Do you receive services from any of the following agencies?

o Vocational Rehabilitation

o Other (e.g. audiologist) _____________ _________________________________________________

Referral Information:

Who referred you to our office? ______________________________________________________________

________________________________________________________________________________________

Additional Documentation:

Additional documentation should be submitted with this form and can include assessments, reports, and/or letters

from qualified evaluators, professionals, or institutions. Common sources of documentation are health care


providers, psychologists, diagnosticians, and/or information from a previous school (e.g., accommodation

agreements/letters, 504, IEP, or other relevant documents). Students are encouraged to submit other disability

related documentation that will help Disability Services better understand their needs. For more information

please refer to the Documentation Guidelines available on the Disability Services website,


Submitting Information:

Disability Services will consider all relevant information submitted by the student. If you have questions about the

office or the process for requesting accommodations, please contact Disability Services at (402) 37-7496. This form

and all other information may be submitted in person, faxed to 402-375-7079 or sent via mail to [email protected]

Comments: ______________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

I certify that all information I have provided is true and accurate to the best of my knowledge. I understand that

intentionally providing false or misleading information may result in my being ineligible for services and may also

result in disciplinary action by Judicial Affairs.

______________________________________________ _________________________________________

Signature of Student Date

(Page 2 of 2)

Wayne State College Disabilities Services Exam Accommodation Request Form


An academic accommodation or modification is sometimes needed to ensure that a qualified student with a disability has an equal opportunity to access and benefit from a course or educational activity. EXAM ACCOMMODATION is a service provided to faculty members and students. Upon the request of the student and the faculty member, the Holland Academic Success Center will provide approved exam accommodations or modifications for WSC students with disabilities. Accommodations may include extended time limit, low-distraction exam area, enlarged print, exam reader or scribe, word processing, etc. If you have questions regarding disability-related exam accommodations, please call the Holland Center at 402-375-7496. Form can be completed online – or printed and completed by hand – then signed and returned to the Holland Academic Success Center when done.

------------------------------------------------To be completed by Student/Instructor ------------------------------------ Complete

information below and return to the Disability Support Services:

Student Name: ________________________________ Student Phone: _______________________

Course Title: __________________________________ Course #: ____________________________

Instructor Name: ______________________________ Instructor Phone: ______________________



EXAM TIMES: Holland Academic Success Center: Monday – Friday, 8am to 5pm by appointment.

ALL CHANGES AND EXCEPTIONS MUST BE INITIALED BY INSTRUCTOR

List specific date(s) below Instructor Initials

EXAM 1

EXAM 2

EXAM 3

EXAM 4

EXAM 5

_________________________ _________________________ _________________ Student Signature Instructor Signature Date

-----------------------------------------To be completed by Disability Support Services -----------------------------------------

APPROVED ACCOMMODATIONS:

o Individual Room

o Extended Time o

Reader o Scribe

o Word Processing o

Dictionary/Spelling List o

Calculator

o Other:

________________

Exam to Counseling Center o Delivered to Disability Support Services by Instructor o

Delivered to Disability Support Services by student (delivered in sealed envelope) o E-

mailed to [email protected]

Completed Exam to Instructor o Pick up Disability Support Services by Instructor o

Returned by student (in sealed envelope) to: _______________________________

Wayne State College Disability Services

Resource Guide to Campus Programs Holland Academic Success Center, Library 232, 402-375-7496

Counseling Center – Personal Counseling, Career Planning, International Student Advisor, Alcohol and Other Drug Counseling and Education, Violence Prevention. http://www.wsc.edu/counseling_center/ Located in the Student Center, Room 103 and at 402-375-7321.

Career Services – Resume Assistance, Internships, On-campus Interviews and Job Postings in CatTracks. http://www.wsc.edu/career_services/ Located in the Student Center, Room 101 and at 402-375-7425.

Residence Life – On-Campus Housing, Food Service Contracts. http://www.wsc.edu/residence_life/ Located in the Student Center 201 and at 402-375-7318.

TRIO Student Support Services – A Federally Funded Trio Program for qualifying students. Students must apply. Eligibility requirements are on the website. http://www.wsc.edu/triosss/ Located in the Student Center 12 and at 402-375-7500.

Holland Academic Success Center - Early Alert Program, Peer Tutors, Writing Help Desk, Academic Coaching,

Freshman Experience classes, Disability Support Services, Advising Center http://www.wsc.edu/hasc/ Located in

the Library, Room 232 and at 402-375-7496.

Multicultural Affairs – Mentoring, Leadership Development, Diversity Programs, Multicultural Groups. http://www.wsc.edu/multicultural_center/ Located in the Student Center 10 and at 402-375-7749.

Student Activities – Intramurals, Student Activities Board, Clubs and Organizations.

http://www.wsc.edu/student_activities/ Located in the Student Center and at 402-375-7322.

Campus Map - WSC Campus is accessible. http://www.wsc.edu/about/map/

http://www.wsc.edu/counseling_center/



http://www.wsc.edu/career_services/



http://www.wsc.edu/residence_life/



http://www.wsc.edu/triosss/




http://www.wsc.edu/hasc/




http://www.wsc.edu/multicultural_center/



http://www.wsc.edu/student_activities/



http://www.wsc.edu/about/map/



Wayne State College federal law, a person with a disability is any person who: 1) has a physical or...

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Transcript of Wayne State College federal law, a person with a disability is any person who: 1) has a physical or...