I acknowledge that this documentation is being submitted after an initial discussion with the Dean regarding my request for accommodations.
I understand that submission of documentation does not guarantee approval of any specific accommodation.
I affirm that the documentation I am submitting is accurate, complete, verifiable, and current, and meets the Seminary’s documentation requirements, including professional credentials and timeliness.
I authorize the Seminary to review, retain, and securely store this documentation as part of my official student record within its student information system.
I understand that disability-related information will be treated as confidential and handled in accordance with applicable federal laws, including the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act of 1973, and the Family Educational Rights and Privacy Act (FERPA).
I understand that approved accommodations may be communicated to my instructors without disclosure of diagnostic or medical details, except as necessary to implement accommodations.
I acknowledge that the Seminary may request additional documentation if needed to verify eligibility or determine reasonable accommodations.
I understand that the Dean is the school official responsible for determining reasonable accommodations on an individualized basis.
I acknowledge that I am submitting sensitive information electronically and consent to its transmission through this form, with the understanding that the Seminary employs reasonable safeguards to protect student records.
I acknowledge the Seminary’s commitment to non-discrimination and non-harassment on the basis of disability and understand that applicable grievance procedures are outlined in the Student Handbook and Title IX Policy.
