(e.g., test-taking accommodations, books in alternate format, sign-language interpreters, etc.).
(e.g., air conditioning, strobe alarms, wheelchair accessible housing, food allergy).
(e.g., service dog, FM system, wheelchair, adaptive technology).
Certification: I certify that the information provided on this form is accurate. I understand that to be eligible for disability services at MVCC I must (1) submit this completed form, (2) submit disability documentation that substantiates the requested accommodations, and (3) participate in an intake interview with a Disability Services staff person. My signature authorizes Office of Accessibility Resources (OAR) to discuss my documentation with the clinician who authored the documentation if additional information or clarification is required. In order to qualify for accommodations in postsecondary settings, students must self-identify as having a disability to the Office of Accessibility Resources. Completing this form is the first step of the process to become registered with the OAR, which establishes the need for accommodations. Staff will then email you to set up additional meetings to discuss the process and engage with the student in the interactive process to determine reasonable accommodations. Please email oar@mvcc.edu if you have any questions.

Documentation from a licensed professional: is enclosed should be sent separately to OAR@mvcc.edu