Public Accommodation Request

Student Information

Current Geneseo students may connect with the OAS if they are interested in requesting accommodations, exploring the accommodation request process, or identifying as a student with a disability.

To connect with the OAS and/or request accommodations, please complete the form below. If you have already completed this form or are already connected to our office and wish to request additional accommodations, please submit a supplemental request.

*Please note, students requesting an Emotional Support Animal (ESA) accommodation must follow the ESA Request Process.

First Name

Last Name

Preferred Name/Pronouns:

Student ID

G00

Email

Please use your university issued email address

Phone Number

Student Verification

I confirm that I am the listed student completing this form. If you are not the listed student please close out of the form.

Transfer Student?

Student Status

Major

Local Address

If you have been assigned a residence hall please indicate your current room assignment.

Please indicate diagnosis/disability.

Please list any current or former diagnosis and disabilities and when you were diagnosed.

Are you served by any of the following agencies?

If you selected any of the agencies above, please list your caseworker, phone number, and name of the agency here

How did you hear about us and our services? (select all that apply)

Did you have formalized accommodations in High School?

Voter Registration

The OAS is a voter registration site. Please refer to the NYS Board of Elections website for information on registering to vote. Do you require assistance with registering to vote?

Academic Accommodations

Students may submit an academic accommodation request at any point. Please note that requests may take approximately one week to process after meeting with OAS staff, and accommodations are not retroactive.

If you have documentation, such as an IEP, 504, and/or letter from your provider, please attach it in the Documentation section of this form. We recognize some students may not have access to documentation for a variety of reasons. Students may still submit a request and meet with OAS staff. Please visit our Documentation Guidelines page for more information.

Are you requesting academic accommodations?

Housing Accommodations

The Office of Accessibility Services (OAS) coordinates housing accommodations for students with disabilities who experience equal access barriers to the campus living environment. To request housing accommodations, please follow the steps below:

1. Complete the housing accommodation section of this form
2. Submit the treatment provider information form to the OAS
3. Meet with OAS staff

Housing Accommodation Requests should be submitted by the required submission date. If the need for the accommodation arises when an individual already resides in College housing, they should contact the OAS and complete the Request form as soon as practicably possible. Please note that requests may take 1-2 weeks after meeting with OAS staff.

Fall Semester

April 1st :Returning Students

June 1st: New Incoming Students

Spring Semester

December 1st

Please review the OAS Housing Accommodation Requests Overview and FAQs for more information about submission deadlines and the process for determining accommodations. We recognize some students may not have access to a treatment provider. Students who cannot submit the Treatment Provider Information form may still submit a request and schedule a meeting with the OAS.

Are you requesting housing accommodations?

Emotional Support Animals

The Office of Accessibility Services (OAS) reviews requests for Emotional Support Animals (ESA) for students with disabilities who reside on campus. To request an ESA, please follow the steps below:

1. Complete the ESA request section of this form

2. Submit the ESA treatment provider information form to the OAS

3. Meet with OAS staff

ESA requests should be submitted by the required submission date. If the need for the accommodation arises when an individual ready resides in College housing, they should contact the OAS and complete the request form as soon as practicably possible. Please note that requests may take 1-2 weeks after meeting with OAS staff.

Fall Semester

June 1st

Spring Semester

December 1st

Please review the OAS Emotional Support Animal webpage for more information on the definition of an ESA, and link to the ESA Policy. We recognize some students may not have access to a treatment provider. Students who cannot submit the treatment provider information form may still submit a request and schedule a meeting with the OAS.

Are you requesting an Emotional Support Animal?

Documentation

If you have documentation of your disability and/or history of accommodations, please attach it below. You may also send documentation to the Office of Accessibility via email, fax, mail, or in-person:

Office of Accessibility Services

SUNY Geneseo

1 College Circle, Erwin Hall 22

Geneseo, NY 14454

access@geneseo.edu

(p)585-245-5112

(f) 585-245-5091