Initial Accommodation Request

* indicates a required field

Student Information

Please enter your information

First Name

Middle Name

Last Name

Are you currently enrolled at OLLU?

Phone Number

Specific Accommodation Information

My diagnosed disability falls into the following category

How does your disability and/or condition affect you academically? Please include any information related to learning, taking tests, and/or participating in class.

How does your disability and/or condition affect your student life in general? Please include any information related to mobility, studying, participating in on-campus events, and any other relevant information.

Do you live on campus? Do you plan to move on campus?

Do you have any housing and/or dining needs related to your disability and/or condition? If yes, please explain.

Upload supporting document(s)

Please upload your supporting documentation here. Failure to do so will require you to either fax it to Accessibility Services at 210-528-7164 or email it to us at ada@ollusa.edu or you may bring hard copies with you to your Accessibility Services appointment.

Confidentiality Statement

BY TYPING YOUR INITIALS, YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTOOD THE STATEMENT BELOW:

In accordance with the requirements of the federal Family Education Rights and Privacy Act (FERPA), the Accessibility Services Office protects each students’ right to privacy by limiting access to disability records pertaining to the provision of services and accommodations. Students may authorize other people to have access to materials in their file only by signing a release form. Our Lady of the Lake University does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs and activities. View complete University Nondiscrimination Policy at www.ollusa.edu/Nondiscrimination.