Accommodation Request

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Student Information

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Must be University of Regina Student ID.
When you enter your email below...

You should ONLY type in your University of Regina student email.  PLEASE DO NOT TYPE A PERSONAL EMAIL BELOW.  The email address you type below should end with:

@uregina.ca

Please use your university issued email address ONLY. Your email address should end with @uregina.ca

Accommodation Specific Information

Upload supporting document(s)

The cost of obtaining disability documentation is covered by the student, unless otherwise authorized by the University of Regina.

Documentation may include, but is not limited to, the Diagnostic Verification Form or Psychological Education Assessment. Both of these forms and additional information about appropriate documentation can be found on the Centre for Student Accessibility homepage. 

Statement of Confidentiality

The staff at the Centre for Student Accessibility agree to keep all information you share with us in the strictest of confidence. Under the Privacy Act and LAFOIPOP, we are unable to disclose any information without signed consent. However, we are required by law to disclose any information in the following situations: when we become aware of current child welfare issues; danger to self or others; or when otherwise legally required to do so. 

I have read the above Statement of Confidentiality and fully understand the terms and conditions.Required
Accommodations Test Centre

*Please note the Accommodations Test Centre will open once on-campus classes resume*

Eligible students that wish to use the University of Regina’s Accommodations Test Centre (ATC) must be aware of and agree to the following procedures:

• Information related to exam accommodations will be shared with the ATC for the purposes of exam scheduling and ensuring accommodations are met.

• All exams administered in the ATC will be monitored via closed circuit video surveillance. If you choose not to be under video surveillance during your exam in the ATC, you must either write the exam as scheduled with your class, or discuss alternate arrangements with your instructor.

• Students are expected to conduct themselves in a manner that does not distract or disrupt the educational pursuits of others.

I have read the above statement on the Accommodations Test Centre and fully understand the terms and conditions.Required
Nursing Students Only

I understand that in order to receive accommodations at both the University of Regina and Saskatchewan Polytechnic, I will need to register at both institutions. I give permission to the Centre for Student Accessibility to collect and share information with Saskatchewan Polytechnic in order to ensure consistent support in the Collaborative Nursing program (SCBScN).

I understand the above statement and agree to allow the CSA to collect and share information with Saskatchewan Polytechnic
Parent/Guardian Involvement (Optional)

I give permission to the Centre for Student Accessibility to discuss my approved accommodations with my parents and/or guardians

Student signature required.
DateRequired