Students with Special Needs Identification Form

Students with Special Needs Identification Form

Disability Support Services
155 Campus Center
SUNY Oswego
Oswego, NY  13126

Reasonable accommodations are provided by Oswego State for students with documented disabilities, as described in the Americans with Disabilities Act of 1990. To access these accommodations, students are responsible for notifying the college of their disabling condition and providing appropriate documentation of the condition.  This information will be maintained in a separate and confidential file. Once documentation has been placed on file, it continues to be the student's responsibility to initiate requests for specific accommodations by contacting the Coordinator of Disability Services.

In order to take advantage of these accommodations, please provide the following information. Be sure to note the specific nature of your disabling condition and the services and/or special accommodations desire.  Please return the completed form to the address listed above.

Please fill out all the fields.


 

 Your Name:   
 Street Address:  
 City:  
 State:  
 Zip Code:  
 Home Phone Number:  
 Student ID Number:  
 Type of Disabling Condition(s):  

 Accommodations Received at
 Previous School:

 

 Services/Accommodations Desired:

 
 Status:  

 

If you are a ACCESS VR or CBVH consumer, please list the requested information of your counselor:

 Counselor's Name:  
 Counselor's Address:  
 Counselor's Phone Number: