Request for Services Application

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Disability Access Services (DAS) at Frederick Community College

DAS strives to support students with disabilities by removing barriers that prevent them from being able to participate in college courses, programs, services, and activities with equal access.  

 

Students must provide documentation that verifies their disability status and information about how that disability impacts their participation at FCC. They may be eligible for an accommodation plan under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act.  

 

After this request for services is submitted, you will meet with a disability specialist to discuss your request through the interactive process, where DAS will help you determine the impact of your disability and decided if you qualify for an accommodation plan.  Each specific accommodation that you request will be carefully considered.  

Student Information

To request services/accommodations, please complete all sections below. This form must be completed by the student.

Please use your FCC-issued email address. For example bsmith@myfcc.frederick.edu

Are you dual enrolled (at a high school and FCC)?Required

Disability and Accommodation Information

Disability CategoryRequired
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Accommodation Information

Do you need ASL interpreting?Required
Have you used accommodations previously (in K-12 setting or another post-secondary institution)?Required
Examples include additional time on tests, use of the Testing Center, use of noise-cancelling headphones, and breaks during class. Please review your documentation for suggestions from a medical provider or previous school. If you aren't sure what accommodations you require, write "unsure."

Documentation and Policies

Upload supporting document(s)

Disability Documentation Guidelines and Letter for Medical Provider

DAS Student Rights and Responsibilities AgreementRequired

DAS works to protect your rights and ensure that you know what your responsibilities are.  The list below is important for you to understand. 

  1. DAS protects your FERPA rights and will not release your protected information. 
  2. You are responsible to provide documentation that verifies your disability and helps to understand where there might be barriers to access for you in the college. DAS may ask you for more information before accommodations can be approved or denied.  
  3. DAS will supply you and your professors with a copy of your accommodation plan, if approved, each semester that you are enrolled. 
  4. DAS will only share information about your accommodations with college personnel, like faculty and interpreters, who need to know in order to provide appropriate access.  DAS does not share details of your disability.  
  5. You should be prepared to follow up with your professors about how you are going to use any approved accommodations in their classes and activities. 
  6. You should notify DAS if you drop/change your classes or if anything else changes about your situation. You may request additional accommodations if needed.  

Completing this request for accommodations does not guarantee that they will be approved.  DAS will carefully consider your request on a case-by-case basis.  

Meeting Required
Upon completion of this page, you must meet with a Disabilities Specialist to discuss possible services/accommodations. Completion of this page does not automatically grant services.