Request for Student Accommodations

CHECKLIST

Apply to Lake Land College by completing the Intent to Enroll.

Complete all sections of this application packet.

Submit this application at least six (6) weeks before the start of the semester you plan to enroll. If the Office of Student Accommodations does not receive a completed application and documentation at least six (6) weeks prior to the start of the semester, some request services may not be available at the start of the semester.

Provide documentation. Documentation can include: (1) a school IEP or 504 Plan; (2) a physician's letter; (3) a psychological evaluation; and/or (4) documentation as determined during the  application meeting.

Schedule an appointment with the Office of Student Accommodations. This appointment is to discuss your specific accommodations and answer any questions or concerns you may have. This meeting is required before your accommodations are officially registered.

Follow through with your requested accommodations. It is your responsibility to discuss your requested accommodations with your instructors.

Approved Accommodations

Lake Land College, is committed to creating and continuously improving an affordable, accessible and effective learning environment, provides reasonable accommodations for students with a documented disability. The faculty and staff at Lake Land College work to address learning barriers in order to help students reach their lifelong educational goals. The Accommodations office at Lake Land College follows the guidelines of Section 504 of the Rehabilitation Act and Americans with Disabilities Act of 1990.

DOCUMENTATION SUMMARY *

What is the first semester you are requesting accommodations? (ex. Fall 2021, Spring 2022)

Have you been enrolled at Lake Land College in the past?
No Yes

During what year were you last enrolled *

If yes, are you reapplying for accommodations?
No Yes

Additional details:

EDUCATION *

MAJOR/ACADEMIC PROGRAM:

OVERALL EDUCATIONAL GOAL:

TRIO STUDENT SUPPORT SERVICES
TRIO is a one-on-one academic support program with the sole purpose of helping students in need to succeed in college. TRIO works with students that are first generation college students, income eligible or registered with Accommodations.

ELECTRONIC SIGNATURE/SPAM QUESTION

ELECTRONIC SIGNATURE *
By checking this box, this will be your electronic signature acknowledging that you have read and agree to the information stated above.

SPAM QUESTION
Please answer the following question: What is the current year? *