Accommodation Request

Student Information

Please enter your information

First Name

Preferred Name

Middle Name

Last Name

Pronouns

G Number

Please use format G00000000

Confirm your G Number

Please use format G00000000

GVSU Email

Please use your university issued email address

Phone Number

Example: 123-456-7890, personal phone number

Are you a veteran?

Service Agencies

Are you a client or receiving services from any State or Federal Agency?

Disability Information

If you picked other, please provide an explanation (optional)

Upload Supporting Document(s)

Documentation of a disability must appear on official letterhead from a licensed physician, psychiatrist, social work, or other mental health professional with their License/Certification number & State of licensure and include:

1. A specific statement of the diagnosis / diagnoses.
2. A summary of related functional limitations

Do you have documentation?

History of Accommodation and/or Support

In the past, what accommodations or supports assisted you at school, home, or in the community?

What accommodations would you like to request at Grand Valley?

Are you requesting housing accommodations?

Are you requesting accommodations for study abroad?

How did you learn about the SAR?

If you picked other, please provide details on how you learned about SAR (optional)

Scheduling Information

Please provide three preferred times across three separate days for a meeting with a SAR advisor. Please note that appointments cannot be scheduled on the same day the form is submitted. Our available appointment times are Monday through Thursday, from 9:00 am to 3:30 pm, and Friday, from 9:00 am to 1:30 pm.

Availability 1

We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.

Availability 2

We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.

Availability 3

We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.

Accommodation Request

Student Information

Disability Information

Upload Supporting Document(s)

History of Accommodation and/or Support

Scheduling Information

Document Information