Disability Accommodation Request

* indicates a required field

Welcome!

Please complete this form to request accommodations with Accessibility Services at Cecil College.

Submission of this request form does not mean that you are registered with Accessibility Services or approved for accommodations. To register you must submit documentation that meets our guidelines, complete an intake meeting, and be approved for accommodations with Accessibility Services. 

DOCUMENTATION INFO

Please review our Documentation Guidelines to request the required information from your provider. 

If you have appropriate documentation available now, please upload it with this request form.  

If you do not have documentation available, that is okay, you can still submit this form and submit documentation later. You will receive an email with information about documentation after you submit your request form and are welcome to reach out to us with any questions you may have at accessibilityservices@cecil.edu or call 443-674-1993.

Once your request form AND documentation are submitted, you will receive an email from accessibilityservices@cecil.edu inviting you to schedule a required intake meeting.

ABOUT THE INTAKE MEETING

  • You will meet with Raegen Iler, Coordinator of Accessibility Services. 
  • The intake meeting is about 1 to 1.5 hours in length.
  • We will discuss the services available to you, and the impact of your disability on your education, create an accommodation plan, and review your role in securing accommodations each semester. 

We look forward to meeting with you!

yourinfo@chawk.cecil.edu
Would you like to receive text message reminders from Accessibility Services? Required
Text Message Disclaimer: By clicking Yes, I agree that the text messaging capability is predicated upon my service provider delivering the text message to me in a timely manner. I agree not to hold Symplicity responsible for missed messages and any pursuant damages. I further understand that there may be charges associated with the text messages, and these charges are ENTIRELY my responsibility.
Date of Birth Required
Example: he/him, she/her, they/them, etc.

Disability Information:

Select all that apply
(During lecture, exams, studying, reading/writing, group work, etc.)

Accommodation Information:

Have you ever received accommodations at Cecil College?Required
{"display_name":"Please select which of the following assistive technology you have previously used","hidden_field_name":"ms_field_1","init_id":"ms_field_1","init_link":"","has_autocomplete":false,"has_hierpicklist":null}
Do you still need to take a Math or English Skills Assessment to determine course placement? Required

Additional Questions:

Are you part of the Early College Academy, or dually enrolled in high school and at Cecil College?Required
Will you need physical assistance to be evacuated during an emergency? Required
Assistance Notification Required

We maintain a notification list of students who may need assistance if access to a building is affected due to malfunction or campus maintenance. Please select if you would like to be included on this notification list.

Are you registered to vote?Required
If you need assistance with voter registration, please email accessibilityservices@cecil.edu to request assistance.
How did you learn about our services?
Which of the following would you like to learn more about? (select all that apply).
{"display_name":"Cecil College provides a variety of services to help you become\/remain a successful student. ","hidden_field_name":"ms_field_2","init_id":"ms_field_2","init_link":"","has_autocomplete":false,"has_hierpicklist":null}
Are you attaching documentation with this application?Required

Appropriate documentation from a qualified provider is required in order to receive accommodations. If you are unable to provide documentation at this time, a link will be emailed to you for you to upload your documentation.