Initial Accommodation Request

* indicates a required field

Student Information

*If you are already registered with LAS, please complete a Supplemental Request for any additional accommodations.

Use your @my.wheaton.edu email!

Disability Specific Information

DurationRequired


Do you have a second condition to report?Required

Specific Accommodation Information

Upload supporting document(s)

If you do not have documentation at this time, that's ok! You can still submit this form. Please click here for Documentation Guidelines.

Release of Information Agreement Required

By submitting this request, I give consent to Wheaton College Learning & Accessibility Services (LAS) to receive and confidentially store all information and documentation I have chosen to provide. I understand that accommodations will not be officially approved until I have met and discussed with LAS staff. If approved for accommodations, LAS may verify this to other areas of the college (relevant faculty or staff). I am responsible for informing LAS of any changes to my accommodation needs or if accommodations are not being adequately provided. I understand that accommodations are not retroactive. I affirm, the truthfulness of the information provided on this form and, if applicable, the attached documentation.