Public Accommodation Request

* indicates a required field

Student Information

Please enter your information
(SRU Student ID REQUIRED. Your student ID begins with an "A" and is followed by eight numbers)
(SRU email REQUIRED)
(Area Code) XXX - XXXX
Have you previously received accommodations?Required
Are you working with the Office of Vocational Rehabilitation (OVR) or another vocational rehab office?Required
Are you working with Veteran's Affairs?Required
Are you requesting a housing accommodation?Required
If you mark "yes", please enter details about this request under "What accommodations do you need?" below.
Are you requesting an emotional support animal (ESA) to reside on campus with you?Required
If you mark "yes", please enter details about this request under "What accommodations do you need?" below.
Are you a student who has been accepted into the Rock Life Program?Required

Specific Accommodation Information

Please describe the accommodations you are requesting at this time (academic or non-academic). Accommodations will be discussed in your welcome meeting. All accommodations are assigned on a case-by-case basis.
Semester and Year (Ex. Fall 2023)
Upload disability support document(s)
See documentation guidelines on our website at www.sru.edu/ods. Photos of documentation will NOT be accepted. Please scan and attach, or fax to 724.738.4399

By typing my initials in the box below, I authorize the Office of Disability Services at Slippery Rock University to disclose educational, psychological, and medical records or information that would assist the university in the design of reasonable accommodations to my disability.  

By typing my initials in the box below, I authorize the Office of Disability Services at Slippery Rock University to receive educational, psychological, and medical records or information that would assist the university in the design of reasonable accommodations to my disability.