Accommodation Request

* indicates a required field

Student Information

Please enter your information
Please use format G00000000
Please use your university issued email address
Example: 123-456-7890
Are you currently enrolled at GVSU?Required
Will you be receiving financial aid? (grants, loans, and/or scholarships)Required
Are you an international student?Required
Are you a veteran?Required
Are you employed?Required

Disability Information

Please check any disability conditions that applyRequired










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? Required

Specific Accommodation Information

Are you requesting housing accommodations?Required
Are you requesting accommodations for study abroad?
How did you learn about the DSR?
Please check all that apply







Scheduling Information

Please provide 5 times over 3 separate days that you are available to meet with a DSR advisor. 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.

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.
 
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.
 
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.
 
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.
 
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.