Valor Christian College Public Accommodation Request Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. E-Mail Address Question Title * 4. Phone Number Question Title * 5. Date of Birth (Month/Date/Year) Question Title * 6. Have you been admitted to Valor Christian College? Yes No Question Title * 7. When do you plan to begin your studies at Valor Christian College? Fall Semester Spring Semester Summer Semester Question Title * 8. What semester do you plan to begin your studies at Valor Christian College? Fall 2017 Spring 2017 Question Title * 9. How will you be completing your coursework? OnGround Courses Online Courses Question Title * 10. Your diagnosed disability falls into the following category? (There is much variability within each accessibility category, and therefore, the type of accommodations needed can vary significantly. Here you will find descriptions of the various types of disabilities recognized in the United States) Attention Deficit Hyperactivity Disorder Autism Spectrum Blind/Low Vision Chronic Health Cognitive Deaf/Hard of Hearing Learning Disability Mobility Other Psychological Traumatic Brain Injury Temporary Injury or Condition Question Title * 11. How does your disability affect you academically? Question Title * 12. How does your disability affect student life in general, like getting around campus and attending class? Question Title * 13. Have you previously used accommodations at school or work? Yes No Question Title * 14. What accommodation have you used previously? Question Title * 15. What accommodations are you requesting to use at Valor Christian College? Extended time for test taking Reduced Distraction for test taking Enlarged font for course materials Reader for exams Other (Please be specific. We will do our best to accommodate your needs). Question Title * 16. Please provide any additional information that can assist in organizing your accommodations. Done