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Request for Student Accommodations

Request for Student Accommodations
* Required Fields







Checklist


Approved Accommodations


No Yes

If yes, please check below the accommodations you have previously received:

* Accommodations are determined on supporting documentation and on an individual student-need basis. Previously qualifying for accommodations in high school or college does not translate into automatic accommodations at Lake Land College.

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 *


No Yes



No Yes

My disability falls into the following category:


Education *

Overall Education 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.

Questions regarding this request please contact Lake Land College Office of Student Accommodations
at 217-234-5259 or email us at accommodations@lakelandcollege.edu.