Request For Services Application

Required

Pronouns
If you have pronouns other than those listed above, please indicate them here.
Please use your Fisher College email address if available. (student@fisher.edu)​​
Enrollment StatusrequiredCheck all that apply
Check all that apply
Are you studying abroad?required

Tell us About Yourself

How were you referred to accessibility services?
Tell us why you are reaching out​
Are you seeking housing accommodations?
Disability Category
Are you deaf or hard of hearing?
Have you ever received accommodations from another school?
Are you currently in therapy?
Are you currently taking any medications?
Have you ever received accommodations for standardized testing?

To see Fisher College documentation guidelines - please click below:

Fisher College Documentation Guidelines

Attach up to 1 file with a maximum size of 10MB
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Academic Information

In which courses are you usually most successful? Which give you more difficulty?​​
(i.e. Reading, paper writing, organization, note-taking)
(Ex. WASC, Student Health Services, Career Development Center, Counseling Services)

Academic Accomodations Requested

Please describe how each accommodation relates to your disability.

Other Information

Do you currently live in Fisher housing?
Are you a student-athlete?
Are you having any concerns regarding:
Other Important Information: required

Policies and Procedures

Please Read Below are the general polices of the Office of Student Accessibility Services office at Fisher College (OSAS) Please read and type your name in the box below. I understand that:

It is my responsibility to provide accurate and timely documentation to OSAS.

It is my responsibility to check my E-mail for updates and announcements.

Once my documentation is in and I have had an initial meeting with OSAS staff, the process can take up to two weeks to be completed.

It is my responsibility to request accommodations each semester.

I must notify OSAS if I drop or add classes.

  •  It is my responsibility to print and deliver my accommodation letters to my professor in a timely fashion.
  •  If I am requesting a new accommodation, I must provide updated documentation and meet with a staff member
  • It is my responsibility to communicate directly with my faculty regarding exam accommodations, and stay in communications about the time and place of such exams.
  •  It is my responsibility to contact Office of Student Accessibility Services (OSAS) in a timely fashion if I am having any difficulties in securing or arranging accommodations.
  •  I am responsible for the condition and timely return of any equipment I use or borrow from OSAS.
  •  If I am approved for Notetaking or Audio recording services, I understand that the notes and/or recordings are for my use only and may not be shared. In addition, I understand that I will only receive these services when I am present.
  •  Requesting accommodations does not mean I have been or will be approved.
  • Some accommodations may be approved temporarily. This may be due to insufficient documentation and/or type of disability. In these cases, I will need to update my documentation to receive accommodations again.
  •  OSAS does not provide retroactive accommodations.
  • Faculty are not required to provide any accommodation that fundamentally alters the nature of their course or lowers their academic standards.
  • Faculty are not required to provide any accommodation without receiving a paper copy of your Faculty Accommodation Letter at least one week in advance of a quiz or exam.
  •  It is my responsibility to ask the professor of record whether other professors or academic personnel (such as course coordinators or teaching fellows) need to be informed of my approved for accommodations. It is also my responsibility to inform those professors as well.
  • Failure on my part to carry out any of these responsibilities may result in my inability to secure accommodations.

Thank you for completing this form. If you haven't yet, please contact us at 617-670-4429 to schedule an intake appointment or use the acuity scheduling calendar.

For students who are Deaf or Hard of Hearing, please email us at fphillips@fisher.edu.