Disability Resource Center -Accommodations Request Email:
[email protected]
Student:
UMM ID:
Email:
Term:
Days & Times
Days Days Days Days Days Days Days
Instructor (Full name)
Times Times Times Times Times Times Times
This student has provided the university with required documentation of a disability. Based on that documentation the following accommodation(s) is/are appropriate. Classroom/Coursework Accommodations: Recording lectures Preferential Seating Enlarged Copies Text Conversion Note-taker (Duplication of notes can be scanned through technology in DS office) Provide copies of outlines, Powerpoints, notes, Moodle access, online e-book access, etc (if available ) Audio text/e-textbooks Attendance/Assignment Deadline Flexibility Other as determined via planning session approval Exam Accommodations: 1.5X 2x Additional time (Time and a half is appropriate for most exams unless otherwise indicated) Distraction free environment
Shared room (max. 3 people)
No penalization for spelling on impromptu writing and essay questions (If accuracy of terms is critical, please meet with the student following the exam to clarify any questions) Scribe
Reader
Text to voice
Calculator
Enlarged copies
Computer (on written/essay)
Oral or Recorded Exams
Other
Exam Administration Preference: (Instructor preference or Disability Services Recommendation) Exam administered in Instructor’s area (*Please mark here if instructor is able to provide test accommodation) Proctored exam (*If you would like Disability Services to administer and/or monitor the exams, please mark here. It is the student’s responsibility to notify the DS office at least 3 school days prior to the exam so we can arrange administration with you---weekends are not included in the 3 day notice. Disability Services will then contact the instructor prior to the exam for arrangements. Please refer to Late/No show procedures. We also recommend instructors to have exams ready and in the office before the students arrive.) Assistive Technology Accommodations: Text-to-Voice or related Assistive Technology services (determined approval as demonstrated by need) Note: _____________________________________ Christopher Dallager, DRC Coordinator The above named student and I have discussed these accommodations. Student_______________________________________ Date_______________________ FOR OFFICE USE ONLY: Emailed accommodation letter to Student Emailed confirmation to instructor Kurzweil Access given to students (DS/notetaker)
Entered into Spreadsheet Audio Text File update
Revised 1.10.12(adapted source: University of Wisconsin-Stevens Point)
Note-taker updated list Testing folder set up
_Student: ____Term:________
Course Code( add notes if needed )
Phone: 320-589-6163
