Accommodations Request

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

This application should be used by students for all accommodation requests including academic/learning, housing, dining and workplace accommodations. The applicant must complete and submit the online form below and must also supply appropriate documentation to Student Disability Services.

Documentation guidelines for specific disability types and submission instructions are found at https://my.graceland.edu/ICS/Resources/Student_Disability_Services. Please choose the correct guideline based on the nature of the disability.

Upon receipt of a completed application, Student Disability Services will contact the applicant to set-up an appointment to discuss the application and the outcome of the review. Please note that completing this application does not guarantee the approval of any accommodation.

Reasonable and appropriate accommodations, academic adjustments, and/or auxiliary aids and services are determined on a case-by-case basis for otherwise qualified individuals who have a demonstrated need for these services and can provide appropriate documentation.

Name*

First Last

Student ID No.*

Birthdate

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Campus (choose one)*

Lamoni

Independence

Online

Major (if applicable)

House (if applicable)

Campus activities / interest groups / clubs

ACCOMMODATIONS

Please check all that apply to your request:

Learning/academic/classroom accommodation

Dietary/dining hall accommodation

Residential accommodation/ADA compliant residence

Physical modification (classroom/lab/field work)

Other (please explain)

Please include the nature of your disability, a description of all current limitations and the specific accommodations that you are seeking. Include any relevant history regarding your disability, past accommodations that were helpful to you and other information that you feel would be helpful.

OUR COMMITMENT

Graceland University is committed to ensuring that educational opportunities, programs and services offered by the University are available and accessible to all individuals in accordance with Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990 as amended in 2008 and the Fair Housing Act. As part of the implementation of these laws, the University will continue to provide reasonable accommodations for students so they can participate fully in the University's educational programs and activities.

For questions related to the Lamoni, Iowa campus's Student Disability Services, please contact Nancy Hoffman at sds-info@graceland.edu. Student Disability Services, Newcom Student Union, Room 39, Graceland University, 1 University Pl, Lamoni, IA 50140.

For questions related to the Independence, Missouri campus's Student Disability Services, please email sds-indp@graceland.edu. Student Disability Services, Graceland University, 1401 W Truman Rd, Independence, MO 64050.

Students requesting accommodations are encouraged to contact Student Disability Services no later than the first week of class attendance. Students are required at their own expense to provide documentation verifying need of accommodation(s).

Find More Information

Go To My Graceland