Initial Accommodations Request Form

* indicates a required field

Accommodations Request

This request form is meant for students requesting accommodations for the first time at Whitman College.  If you have already been processed for accommodations at Whitman and are requesting additional accommodations, please log-in to the Accommodate student portal and complete a supplemental request. 

Please complete the form below to the best of your ability, answering as completely as possible. If you have any questions, please email dss@whitman.edu

This is your 7-digit Whitman ID
Please use your university issued email address

Specific Accommodation Information

Diagnosis StatusRequired



Diagnosis Category 1 (Primary Diagnosis)Required











If you are pre-diagnosis, self-diagnosed or in the midst of the diagnostic process, please describe the symptoms that are informing your diagnostic journey and impacting your lived experience.
Have you been provided accommodations in the past?
Select all that Apply
Diagnosis Category 2 (Secondary Diagnosis)












Diagnosis Category 3 (Additional Diagnosis)











Is there anything else you would like us to know about you that will help in determining appropriate accommodations and anticipating your various needs on campus?

Documentation StatusRequired

Documentation is required prior to approval of accommodations. Please select where you are in the documentation status. 

If you have questions about documentation, please review Documentation Guidelines. 

Documentation

If you have any supporting documentation that will aid staff in processing your request, please upload that here. 


You may also bring a copy of your documentation to our initial meeting, or have it sent directly by your physician, mental health professional, educational psychologist, or other diagnosing individual.

Acknowledgement StatementRequired

I acknowledge my understanding of the following next steps when requesting accommodations due to a disability: 

1. If I have not already, I will upload appropriate documentation demonstrating a relationship between my disability and the requested accommodation(s). 

2. After providing documentation, I will schedule an intake meeting with DSS/ARC staff. Possible accommodations will be discussed during this interactive process. 

3. When reasonable accommodations are agreed upon, letters of accommodations will be prepared for the student to send to faculty members. 

I completed this application on my ownRequired