New Accommodation Request

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Student Information

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First Name

Last Name

Middle Name

Carleton Student ID#

Carleton Email Address

Please use your college-issued email address

Phone Number

For enrolled and accepted students only:

What is your intended graduation year?

Please check the box that applies to you:

I am an enrolled student at Carleton.

I am an accepted student at Carleton for the upcoming academic year.

I am a high school student enrolled in a Summer Academic Program at Carleton.

Which summer academic program will you be attending?

I am a visitor to Carleton.

(First Year Students Only) Are you interested in participating in the First Year Transition Program?

The First Year Transition Program matches new students with disabilities with a student mentor. The mentors are Disability Peer Leaders. Students will participate in one-on-one sessions and group sessions with other mentors and mentees. Mentors assist students in navigating campus life and in making social connections in the first year at Carleton. The program is open and encouraged for all students with disabilities.

(All Enrolled Students) Are you interested in participating in the CAPS (Carleton Academic Peer Support) program?

The CAPS program is designed for students who have experienced significant struggles with organization, time-management, planning and prioritizing, task initiation, and homework completion. It provides academic support for students with disabilities who desire regular assistance (minimum 2 hours per week) with these aspects of executive functioning. The term begins with a thorough review of course syllabi and expectations. It is important to know that this program does not provide content tutoring (available at Carleton's Academic Support Center). With student permission, we gather updates from instructors regarding attendance, homework completion, and grades.

Specific Accommodation Information

Please describe your disability.

If you are a student, how does your disability affect you academically?

If you are a student, how does your disability affect student life outside the classroom?

What accommodation(s) are you requesting?

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New Accommodation Request

Student Information

Specific Accommodation Information

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