Online Student Application

Questions

1. Have you ever received accommodations for a disability in the past? If so, please list or describe them here.
2. What accommodations are you requesting at Loyola? Please list or describe them here.
3. If you don't know what accommodations you need, please describe the areas in which you are facing challenges.
4.  

   DSS can assign you a student mentor, who is another student registered with DSS who can help guide you with disabiilty-related matters or living and learning at Loyola. Are you interested in working with a mentor from DSS?

   Yes

   No

   Maybe, I would like more information (Specify Below)

   Additional Note or Comment
5.  

   Here is information about emergency preparedness for people with disabilities. Do you have a disability-related need that might require assistance during an evacuation? * (Selection is Required)

   Yes (Specify Below)

   No

   Additional Note or Comment
6.  

   How did you hear about Disability Support Services?

   Website

   High school counselor or teacher

   Academic advisor

   Faculty member

   Class dean

   Counseling Center

   Health Center

   Student Life (housing)

   Medical provider

   Other

   Additional Note or Comment

Acknowledgment of Understanding

Disability records are confidential, maintained in the Disability and Accessibility Services (DAS) office, and protected as an educational record under the Family Educational Rights and Privacy Act (FERPA). DAS will not release disability-related documentation or information without a student’s consent, except as permitted to university officials on a limited, need-to-know basis, or as otherwise permitted under FERPA.

Submitting this application is only part of the registration process. Appropriate disability documentation supporting the requested accommodations is also required. Obtaining and reviewing the provided documentation is a part of an interactive process between students and DAS. Professionals from DAS offer initial meetings, which provide students an opportunity to discuss disability-related needs and requests. These meetings allow students to share their strengths and needs, previous academic experiences, ideas regarding accommodations, and other information.

Accommodations received during high school or at another institution are not binding to Loyola University Maryland. DAS may propose an alternative accommodation that would be appropriate, which neither the student nor evaluator has requested. For various reasons, DAS may require additional or updated information. For example, DAS might need more information to understand the rationale for accommodation, other accommodations are requested, or an undergraduate student enters a Loyola graduate program.

By selecting Submit Application, I am indicating that I have read and understood the above statement.