Disclosure and Request for Accommodations

* indicates a required field

REVIEW BEFORE COMPLETING THIS FORM

Personal Information 

  • Your Elon student ID number and Elon email address
  • Information about your disability or diagnosed condition

Documentation, which may include: 

  • For academic accommodations: a letter from a licensed medical, mental health, or other type of provider; an evaluation of your learning, psychological, and/or cognitive profile; evaluation or reevaluation from your high school 
  • For housing accommodations: a completed housing provider form and letterhead from your licensed medical or mental health provider 
  • For emotional support animals: a completed ESA provider form and letterhead from your licensed medical or mental health provider
  • For dining accommodations: a completed dining provider form or a detailed letter on letterhead from an appropriate licensed provider 
  • For temporary accommodations: a statement from your provider about your need for a temporary accommodation; please note that if you need temporary accessible parking, your provider must include information about how long the accessible parking will be needed

If you do not have documentation to upload right now, you may still submit your accommodations request and send documents to us later via email (disabilities@elon.edu) or secure fax (336-278-6514). Thank you! 

STUDENT INFORMATION

This form is for new and current Elon University students who are requesting accommodations for the first time. 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 2025).

GENERAL DISABILITY AND DIAGNOSTIC INFORMATION

(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.)

In the event of a fire or evacuation, will you need assistance exiting the building?Required

ACADEMIC AND CLASSROOM ACCOMMODATIONS

Are you requesting academic and classroom accommodations?Required

Please click "Yes" if you are requesting accommodations related to the academic and classroom environment, such as accommodations for testing, notetaking, alternate formats, attendance, and assignments. 

HOUSING ACCOMMODATIONS

Please ensure that you have worked with your provider to complete our required Housing Accommodations Provider Form.

If you have not already done so, you will also need to complete Residence Life's general housing application in Self-Service.

Are you requesting a housing-related accommodation?Required

Please click "Yes" if you are requesting accommodations related to the room type you need, specialized furniture or furniture removal needs, MicroFridge access, washer/dryer access, or anything else related to a housing assignment on campus.

EMOTIONAL SUPPORT ANIMAL (ESA) ACCOMMODATION

Please ensure that you have worked with your provider to complete our required ESA Request Provider Form.

If you have not already done so, you will also need to complete Residence Life's general housing application in Self-Service.

Are you requesting an emotional support animal (ESA)?Required

Please click "Yes" if you are requesting to bring your emotional support animal (ESA) to campus.

DINING ACCOMMODATIONS

Please ensure that you have worked with your provider to complete our Dining Accommodations Provider Form or to write a detailed letter with information about your diagnosis(es), major life activities impacted and severity of impact, any information about specific diet (if applicable), and their professional recommendations for accommodations.

Are you requesting a dining-related accommodation?Required

Please click "Yes" if you are requesting an accommodation for a meal plan adjustment.

If you have dining-related needs related to nutrition intake and allergies that do not require an adjustment to the meal plan, please reach out to us so that we can connect you with our Campus Dietitian for consultation! 

TEMPORARY ACCOMMODATIONS

Are you requesting an accommodation for a temporary injury or condition?Required

Please click "Yes" if you are requesting temporary accommodations. This may include temporary accessible parking on campus, a temporary peer notetaker, or something else.

SUPPORTING DOCUMENTS AND OTHER RESOURCES

Below you will be able to submit any documentation that goes with your submission, including academic-related documentation, provider forms and letters for housing, ESA, and/or dining requests, doctor's letters, or anything else that you find relevant to submit. Thank you!

Upload supporting document(s)

Please submit documentation in one of the following ways:

  1. Now electronically by uploading files (preferred method)
  2. Email: disabilities@elon.edu
  3. Secure Fax: 336-278-6514

Please submit electronic documentation in Word or PDF formats only. Thank you!