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Disability Resources Notification Form

This form is for students new to the University only. Students who have disabilities, even if they do not intend to use reasonable accommodations, should notify Disabilities Resources that they are coming to campus by submitting the form below. Entering students often have questions about whether to register with this office. There may be benefits to registering with the office regardless of a need for formal accommodations. The Associate Dean for Student Academic Resources*, who coordinates Disability Resources, will talk with students individually and confidentially about the services at Wesleyan and differences between high school and college. The dean will help students think through the implications of not requesting reasonable accommodations during the first semester at Wesleyan. For many students, Wesleyan provides a less structured environment that presents unfamiliar or unforeseen challenges. The first semester at Wesleyan can be smoother with reasonable accommodations in place.

Notification Form

Please note that submission of this form does not register you with Disability Resources, it is just the first step in the process. Disability Resources will use the information you provide on the below form to inform you of deadlines, policies, job fairs and events relevant to students who have disabilities. Personal identifying information divulged on this form will not be disseminated without your permission. For information on how to register with the office and what supporting documentation is needed to request accommodations, please go to the Student Guide.

Personal Information
Please complete all fields in this section. Failure to provide complete and correct information may result in this form not being processed correctly.
First Name:
Last Name:
Class Year:
Wes ID:
Wesleyan Email:
Disability Information
Do you have a disability?:	NoYes
Please describe the disability/ies.:
Do you anticipate requesting reasonable accommodations and/or other services?:	NoYes
If yes, please describe:
Would you like to be contacted by the student-run group Wesleyan Students for Disability Rights (WSDR)? Please note that if you choose to be notified, only your name and email address will be sent to WSDR (not the nature of your disability).
WSDR contact?:	NoYes
Please submit any other questions you might have to Dean Laura Patey (lpatey@wesleyan.edu).

Disability Resources Notification Form

Notification Form

Personal Information

Disability Information