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Welcome to Furman's Student Office for Accessibility Resources. Please complete the form below in it's entirety. This will help us serve you better!
Personal Information
Start Term
*
:
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2023 - May
2023 - Summer
2023 - Fall
2024 - Spring
2024 - May
2024 - Summer
2024 - Fall
2025 - Spring
2025 - May
2025 - Summer
2025 - Fall
2026 - Spring
2026 - May
2026 - Summer
2026 - Fall
2027 - Spring
2027 - May
2027 - Summer
2027 - Fall
2028 - Spring
2028 - May
2028 - Summer
2028 - Fall
2029 - Spring
2029 - May
2029 - Summer
2029 - Fall
2030 - Spring
2030 - May
2030 - Summer
2030 - Fall
2031 - Spring
2031 - May
2031 - Summer
2031 - Fall
2032 - Spring
2032 - May
2032 - Summer
2032 - Fall
2033 - Spring
2033 - May
2033 - Summer
2033 - Fall
2034 - Spring
2034 - May
2034 - Summer
2034 - Fall
2035 - Spring
2035 - May
2035 - Summer
2035 - Fall
2036 - Spring
2036 - May
2036 - Summer
2036 - Fall
2037 - Spring
2037 - May
2037 - Summer
2037 - Fall
2038 - Spring
2038 - May
2038 - Summer
2038 - Fall
2039 - Spring
2039 - May
2039 - Summer
2039 - Fall
2040 - Spring
2040 - May
2040 - Summer
2040 - Fall
2041 - Spring
2041 - May
2041 - Summer
2041 - Fall
2042 - Spring
2042 - May
2042 - Summer
2042 - Fall
2043 - Spring
2043 - May
2043 - Summer
2043 - Fall
2044 - Spring
2044 - May
2044 - Summer
2044 - Fall
2045 - Spring
2045 - May
2045 - Summer
2045 - Fall
2046 - Spring
2046 - May
2046 - Summer
2046 - Fall
2047 - Spring
2047 - May
2047 - Summer
2047 - Fall
2048 - Spring
2048 - May
2048 - Summer
2048 - Fall
2049 - Spring
2049 - May
2049 - Summer
2049 - Fall
2050 - Spring
2050 - May
2050 - Summer
Note: Select when you would like to start your services.
Expected Graduation Term:
Select One
2015 - Fall
2016 - Spring
2016 - May
2016 - Summer
2016 - Fall
2017 - Spring
2017 - May
2017 - Summer
2017 - Fall
2018 - Spring
2018 - May
2018 - Summer
2018 - Fall
2019 - Spring
2019 - May
2019 - Summer
2019 - Fall
2020 - Spring
2020 - May
2020 - Summer
2020 - Fall
2021 - Spring
2021 - May
2021 - Summer
2021 - Fall
2022 - Spring
2022 - May
2022 - Summer
2022 - Fall
2023 - Spring
2023 - May
2023 - Summer
2023 - Fall
2024 - Spring
2024 - May
2024 - Summer
2024 - Fall
2025 - Spring
2025 - May
2025 - Summer
2025 - Fall
2026 - Spring
2026 - May
2026 - Summer
2026 - Fall
2027 - Spring
2027 - May
2027 - Summer
2027 - Fall
2028 - Spring
2028 - May
2028 - Summer
2028 - Fall
2029 - Spring
2029 - May
2029 - Summer
2029 - Fall
2030 - Spring
2030 - May
2030 - Summer
2030 - Fall
2031 - Spring
2031 - May
2031 - Summer
2031 - Fall
2032 - Spring
2032 - May
2032 - Summer
2032 - Fall
2033 - Spring
2033 - May
2033 - Summer
2033 - Fall
2034 - Spring
2034 - May
2034 - Summer
2034 - Fall
2035 - Spring
2035 - May
2035 - Summer
2035 - Fall
2036 - Spring
2036 - May
2036 - Summer
2036 - Fall
2037 - Spring
2037 - May
2037 - Summer
2037 - Fall
2038 - Spring
2038 - May
2038 - Summer
2038 - Fall
2039 - Spring
2039 - May
2039 - Summer
2039 - Fall
2040 - Spring
2040 - May
2040 - Summer
2040 - Fall
2041 - Spring
2041 - May
2041 - Summer
2041 - Fall
2042 - Spring
2042 - May
2042 - Summer
2042 - Fall
2043 - Spring
2043 - May
2043 - Summer
2043 - Fall
2044 - Spring
2044 - May
2044 - Summer
2044 - Fall
2045 - Spring
2045 - May
2045 - Summer
2045 - Fall
2046 - Spring
2046 - May
2046 - Summer
2046 - Fall
2047 - Spring
2047 - May
2047 - Summer
2047 - Fall
2048 - Spring
2048 - May
2048 - Summer
2048 - Fall
2049 - Spring
2049 - May
2049 - Summer
2049 - Fall
2050 - Spring
2050 - May
2050 - Summer
Note: Select when you plan to graduate.
First Name
*
:
Last Name
*
:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 7 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender
*
:
Select One
Female
Male
Other/Not Specified
Pronouns:
Select One
he, him, his, his, himself
he/him/they/them
per, per, pers, pers, perself
she, her, her, hers, herself
she/her/he/him/they/them
she/her/they/them
they, them, their, theirs, themself
ve, ver, vis, vers, verself
zie, hir, hir, hirs, hirself
Contact Information
Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address
*
:
Local Address
Address
*
:
City
*
:
State
*
:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Wyoming
International
Zipcode
*
:
Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
Primary Disability
*
:
Select One
=== ADHD ===
ADD/ADHD
=== General Category ===
Other
=== Learning ===
Central Auditory Processing Disorder
Cognitive Disorder NOS
Learning Disability Math
Learning Disability NOS
Learning Disability Reading
Learning Disability Writing
Neuro Developmental Disorder
Non-Verbal Learning Disorder
Speech or Language Disorder
=== Medical ===
Acquired Brain Injury
Allergy (Anaphylaxis), Food
Allergy, Environmental
Allergy, Food
Asthma
Autoimmune, other
Cancer
Cardiovascular/Pulmonary
Cerebral palsy
Concussion
Developmental Disability
Diabetes
Dystonia
Fracture/Sprain
Gastrointestinal, Immune Disorder
Limited Gait or Range of Motion
Long Covid
Migraines
Motor Neuron
Oculomotor/Gaze Apraxia
Optic Neuropathy
Organ, Blood, Tissue
Orthopedic Conditions Acute
Orthopedic Conditions Chronic
Osteopenia
Paraplegic
Quadriplegic
Seizure
Sleep Disorder
Spine/Spinal Injury
Surgery
Tourettes
=== Mental Health ===
Adjustment Disorder
Anxiety Disorders
Bi Polar
Depression
Eating Disorders
Misophonia
Obsessive Compulsive Disorder
Oppositional Defiant Disorder
Panic Disorder
Post Traumatic Stress Disorder
Schizophrenia, Personality Disorders
=== Sensory ===
Blind
Deaf
Hard of Hearing
Visual Impairment
=== Spectrum ===
Autism Spectrum Disorder
Secondary Disability(ies)
ADHD
ADD/ADHD
General Category
Other
Learning
Central Auditory Processing Disorder
Cognitive Disorder NOS
Learning Disability Math
Learning Disability NOS
Learning Disability Reading
Learning Disability Writing
Neuro Developmental Disorder
Non-Verbal Learning Disorder
Speech or Language Disorder
Medical
Acquired Brain Injury
Allergy (Anaphylaxis), Food
Allergy, Environmental
Allergy, Food
Asthma
Autoimmune, other
Cancer
Cardiovascular/Pulmonary
Cerebral palsy
Concussion
Developmental Disability
Diabetes
Dystonia
Fracture/Sprain
Gastrointestinal, Immune Disorder
Limited Gait or Range of Motion
Long Covid
Migraines
Motor Neuron
Oculomotor/Gaze Apraxia
Optic Neuropathy
Organ, Blood, Tissue
Orthopedic Conditions Acute
Orthopedic Conditions Chronic
Osteopenia
Paraplegic
Quadriplegic
Seizure
Sleep Disorder
Spine/Spinal Injury
Surgery
Tourettes
Mental Health
Adjustment Disorder
Anxiety Disorders
Bi Polar
Depression
Eating Disorders
Misophonia
Obsessive Compulsive Disorder
Oppositional Defiant Disorder
Panic Disorder
Post Traumatic Stress Disorder
Schizophrenia, Personality Disorders
Sensory
Blind
Deaf
Hard of Hearing
Visual Impairment
Spectrum
Autism Spectrum Disorder
Other Disability or Note:
Affiliation(s)
Affiliation(s)
Graduate Student
ROTC
Student Athlete
Study Abroad Accommodations
Undergraduate Day Student
Undergraduate Evening Student
Additional Note:
Please check all the accommodations you had at a previous institution. If you have never received any accommodations, please leave this section blank.
Access Key to Eligibility Section is "G"
Prior Accommodations
Alternative Testing
Breaks Not Counted in Testing Time
Calculator
Computer (without Internet to type exam responses)
Extended Time on Tests
Large Print Exams (14 point font)
Low Light Testing Environment
Permission to Mark Directly on Exam/No Answer or Bubble Sheets
Permission to take written test instead of computer test, if possible
Reduced Distraction Environment
Reschedule Tests
Speech-to-Text program for Tests
Spelling/Grammar Check
Text-to-Speech program for Tests
Alternative Formats
Audio Description Videos
Braille
Large Print In-Class Handouts
Deaf and Hard of Hearing
Assistive Listening Devices
Closed Captioned Videos
Interpreting
Professor needs to wear clear mask
Real Time Captioning
Notetaking Services
Peer Notetaker
Classroom Access
Food/Drink in Class
Participation Accessible Field trip(s)
Permission to Leave Class
Preferential Seating
Remote Learning
Wheelchair Accessible Desk/Table
Permission to Audio Record Lecture
Glean
LiveScribe Smart Pen
Sonocent Audio Notetaker
Housing Accommodations
Access to kitchen
ADA Equipped Bathroom
Additional Personal Mini-Fridge
Animal/Environmental Allergy
Assistance Animal
Bed Shaker and Strobe Lighting
Braille Signage
Bring Own Mattress
Centrally Located
Community Bathroom
Early Arrival
First Floor or Elevator Access
Low Traffic Area
No Bunk Beds
No Carpet
Permission to Live Off Campus
Private Room
Service Animal
Service Animal-in-Training
Suite-Style Bathroom
Visual Fire Alert in Room
Wheelchair Accessible Space
Meal Plan Accommodations
Dietary Restriction/Food Allergy Dining Hall Consult
Meal Plan Reduction
Parking and Transportation Accommodations
Medical Parking
Permission to Bring Golf Cart
Notetaking Accommodations
Provide PowerPoint Slides
Please check all the accommodations you are requesting at Furman University.
Access Key to Eligibility Section is "G"
Requesting Accommodations at SOAR
Alternative Testing
Extended Time on Tests
Reduced Distraction Environment
Alternative Formats
Alternative Formats/Audio Books
Deaf and Hard of Hearing
Closed Captioned Videos
Interpreting
Notetaking Services
Notetaking Services
Classroom Access
Classroom Access
Permission to Audio Record Lecture
Notetaking Technology
Housing Accommodations
Assistance Animal/Emotional Support Animal
Housing Accommodation
Meal Plan Accommodations
Meal Plan Accommodation
Parking and Transportation Accommodations
Parking and Transportation Accommodations
Questions
How does your disability impact you?
*
(Required)
What specific accommodations are you requesting at Furman?
*
(Required)
How would your requested accommodations support you?
*
(Required)
How did you hear about disability services?
Academic Advisor
Family Member
Instructor
Counseling Center
Student Health Center
Friend
Other (Please specify below)
Additional Note or Comment
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