Accessibility Services for Students with Disabilities Emotional Support Animal Policy Digital Accessibility Policy Report a Digital Accessibility Concern Menu Contact us Michael Cruce, PhD.Director of Student Accessibility Services(402) 465-2149mcruce [at] nebrwesleyan.edu (mcruce[at]nebrwesleyan[dot]edu)For our accommodation appeal procedure, email mcruce [at] nebrwesleyan.edu (Michael Cruce). New Student Accessibility Application Nebraska Wesleyan is committed to making reasonable accommodations for students with disabilities. If you have a disability and need accommodations, please complete this form and submit it as soon as possible. Once you have submitted this form, Michael Cruce, Director of Student Accessibility, will contact you to discuss your needs. All information will be kept confidential and used only to provide you with reasonable accommodations. If you want additional information about disability services at Nebraska Wesleyan University, visit the Services for Students with Disabilities page. Student Name Email I am a - Select - First year student Sophomore Junior Senior Graduate student Disability Disability ADHD Autism Chronic illness Hearing impairment Intellectual disability Learning disability Mental health Mobility impairment Speech language impairment Traumatic brain injury Vision impairment °¿³Ù³ó±ð°ù… Enter other… (Optional) Check all that apply. Describe mental health disability (Optional) Did you have an IEP in school? (Optional) Yes No Did you have a 504 Plan in school? (Optional) Yes No Have you received accommodations in the past? (Optional) Yes No What types of challenges do you experience? (Optional) Paying attention in class or on tests Need to step out to manage health Completing tests on time Taking notes Managing time Reading speed/rate Understanding what I read Math calculations/understanding math Organization Distractions during tests Access to learning materials Noise/stimuli reduction °¿³Ù³ó±ð°ù… Enter other… (Optional) Check all that apply. Do you have dietary challenges/ food allergies/religious dietary needs? (Optional) Yes No Please describe (Optional) Do you have housing needs due to disability? (Optional) Yes No Please describe (Optional) Submit Leave this field blank
