Glendon Accessibility Service Registration Form

We send limited but crucial information to students periodically by email about deadlines, important events, etc.

Would you like to be notified of important deadlines, reminders and activities through the Glendon Accessibility Services Email Listserve?

Only Glendon or Keele Accessibility/Disability Services can send email to you via the ListServe. *

Yes No

When do you expect to start your studies at Glendon Campus? *

Summer 2019 Fall 2019 Winter 2020 I am currently York Student. I started my studies in (e.g. fall 2016)

To support the development of an academic accommodation plan, an in-depth understanding of a student’s functional limitations is required. Recent, comprehensive documentation from a registered health professional is integral to the development of an accommodation plan. Limited or interim accommodations will be available to students with older or incomplete (e.g. OSAP Disability Verification Form, IEP) documentation.

Please check the circumstance that best describes you:

I have attached a completed Medical Form or a recent psychoeducational or neuropsychological assessment (or one that was completed when I was 18+) I have attached a copy af a psychoeducational assessment or neuropsychological assessment that was comlpeted more than 4 years ago I have attached my OSAP Disability Verification Form. I have attached a copy of my Individualized Education Plan (IEP) from high school or a Letter of Accommodation from another post-secondary institution. I have attached a note from a medical practioner.

Did you have access to academic accommodations in high school or in elementary school or another setting? *

Yes No

Have you attended any other post-secondary schools? *

yes no

Are you currently or have you ever been on academic warning at York or another university? *

Yes No

I hereby give Accessibility Services consent to provide and discuss my test/exam accommodations with Alternate Exam & Test Scheduling. *

Yes No I would like to discuss further before making a decision

I hereby give Accessibility Services consent to discuss my accommodations with Library Accessibility Services *

Yes No I would like to discuss further before making a decision

I hereby give Accessibility Services consent to discuss my academic accommodations with course directors/TAs. *

Yes No I would like to discuss further before making a decision

Glendon Accessibility Service Registration Form