Disclosure and Request for Accommodations

* indicates a required field

Student Information

This form is for new and current Elon University students who are requesting initial accommodations. The form MUST BE completed by the student.

7-digit number that can be found under My Profile in On Track.
Please use your university issued email address
Please enter your first semester of enrollment at Elon University. If you are an incoming student, please enter your first anticipated semester (for example, Fall 2021).

Specific Accommodation Information

(examples: studying, in classroom, note-taking, test-taking)
(examples: caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, speaking, breathing, learning, reading, concentrating, thinking, communicating or major bodily function, etc.)
Are you requesting a housing-related accommodation? If yes, please make sure you and your provider have completed and submitted the housing accommodations request packet (found on the DR website).Required
Are you requesting an emotional support animal (ESA)? If yes, please make sure you and your provider have completed and submitted the ESA request packet (found on the DR website).Required
In the event of an emergency, I will need assistance.Required
Upload supporting document(s)
You may submit documentation one of two ways: please either submit documentation now electronically by uploading files (preferred method) or submit by email [disabilities@elon.edu] or fax [336-278-6514]. Please submit electronic documentation in Word or PDF formats only. Thank you!