Public Accommodation Request

Student Information

Please enter your information

IMPORTANT:

First Year and Transfer students entering McDaniel in the Fall may register with SASS beginning March 1. Please be sure to activate your McDaniel email before registering, as we will use that email to communicate with you.

First NameRequired *

Last NameRequired *

Chosen Name

Preferred Pronouns

Date of BirthRequired *

Student Cell Phone NumberRequired *

Student IDRequired *

EmailRequired *

Please use your McDaniel College email address to help us process your request.

Please indicate your status Required *

Please indicate your incoming academic level Required *

Please indicate your current academic level Required *

Do you require an interpreter?Required *

Do you require an interpreter? Yes Do you require an interpreter? No

Please indicate for which language you require an interpreter.

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Parent/Guardian First Name 2

Parent/Guardian Last Name 2

Parent/Guardian Phone Number 2

Parent/Guardian Email Address 2

Specific Accommodation Information

Please list all documented disabilitiesRequired *

Please select all that apply.

If Other, please describe:

Are you requesting academic accommodations? (Examples may include extended test taking time, alternate testing location, copy of notes)Required *

Are you requesting academic accommodations? (Examples may include extended test taking time, alternate testing location, copy of notes) Yes Are you requesting academic accommodations? (Examples may include extended test taking time, alternate testing location, copy of notes) No

Please indicate if you received services in high school through any of the following:

IEP
504 Plan
Neither or Other plan

Please list any accommodations previously used in high school or at a college or university.

Are you requesting housing accommodations?Required *

Are you requesting housing accommodations? Yes Are you requesting housing accommodations? No

What housing accommodations are you requesting?Required *

Air Conditioning
Single Room
Other

If other, please describe:

Housing Accommodation Provider Form

Please click the link below to access the required housing accommodation provider documentation form.

Housing Accommodations Provider Form

Are you requesting a Emotional Support Animal (ESA) or registering a Service Animal?Required *

Are you requesting a Emotional Support Animal (ESA) or registering a Service Animal? Yes Are you requesting a Emotional Support Animal (ESA) or registering a Service Animal? No

ESA vs. Service Animal

An Emotional Support Animal (ESA) is an animal that provides companionship and comfort to a person who has a qualifying medical, mental, or chronic health condition that rises to the level of disability, and has been documented by a licensed health-care provider. These animals must remain in the student's designated housing assignment and are not granted the right of public access.

A Service Animal is defined as a dog or miniature horse that is specifically trained to do work or perform a task directly related to a person's disability, including physical, sensory, psychiatric, intellectual, or other mental disability. Service Animals are granted public access and must remain under the control of the handler at all times.

Which of the following are you requesting?

Emotional Support Animal Provider Form

Please click the link below to access the required ESA accommodation provider documentation form.

Emotional Support Animal (ESA) Provider Form

Service Animal Registration Form

Please click the link below to access the Service Animal Guidelines and Procedure.

Service Animal Guidelines and Procedure

Additional Comments

Are there any other concerns or information you would like to share with us?

Documentation Guidelines

Academic Accommodations Documentation Guidelines and Procedure
Housing Accommodations Documentation Guidelines and Procedure
Emotional Support Animal (ESA) Documentation Guidelines and Procedure
Service Animal Guidelines and Procedure

Upload supporting document(s)

Please list all documented disabilities

Public Accommodation Request

Student Information

Parent/Guardian Information

Specific Accommodation Information

Document Information