Request for Faculty Letters

There may be times when the design of a class presents a barrier to access. In the event that a student anticipates or experiences a barrier, he or she may request a Faculty Letter be sent to the instructor with instructions on how to remove the barrier. For example, if a time limit creates a barrier for a student with a disability, the student may request extended testing time by submitting the form below.

It may be necessary for a student to attend class to get information about course design to determine if any barriers to access exist. Once a student is aware of any barriers in the classroom environment, they should notify the Access Office team as soon as possible. Faculty Letters can be requested at any time during the semester, but students should be aware that 1.) Faculty may need some time to implement the methods listed, and 2.) requests may not be applied retroactively.

Please note that all requests are considered on a case-by-case basis. Most requests for Faculty Letters take less than 2 business days to complete; however, some requests take additional time to process (e.g., scheduling a sign language interpreter, creating materials in alternate formats). Other requests may require additional information about essential course functions to determine an appropriate resolution (e.g., attendance agreements). Students are welcome to contact the Access Office at any time during the process to determine the status of the request. Students should contact the Access Office immediately if there has been no contact (receipt of a Faculty Letter or some indication that the request is in process) within 10 business days.

Faculty Letters are sent via VSU email to both the Instructor and the student to facilitate communication. If a student encounters any difficulty with the implementation of any method of instruction or assessment included in the Faculty Letter, they should notify a member of the Access Office team immediately so that efforts can be made to intervene as needed.

Please fill out the fields below. Red asterisks indicate fields that are required for submission.

Semester/Student Information

 

I give permission to have my letter(s) emailed directly to the faculty member. I understand that a copy will be emailed to me as well to facilitate communication between myself and the faculty member regarding the methods of assessment/instruction included in the letters.
I do NOT give permission to have my letter(s) emailed. I will pick up the letter(s) from the Access Office.

Please provide the following information for each class.

Please note that if requesting text books in alternate format, you need to complete the Alternate Media Request Form separately.

If you are requesting accommodations for placement in a “Workplace Environment” (e.g., practicum, internship, externship, clinical, student teaching), please complete the Workplace Environment Form separately.

Extended Testing Time
Reduced Distraction Testing Environment
Use of a Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of a Dictionary
Preferential Seating
Interpreter (Please send your class schedule to access@valdosta.edu)
Assistive Listening Device
Closed Captions
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.

Continue adding courses below or skip to the bottom to sign and submit.

Course #2:

 
Extended Testing Time
Reduced Distraction Testing Environment
Use of a Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of a Dictionary
Preferential Seating
Interpreter (Please send class schedule to access@valdosta.edu)
Assistive Listening Device
Closed Captioning
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.

Continue adding courses below or skip to the bottom to sign and submit.

Course #3:

 

 
Extended Testing Time
Reduced Distraction Testing Environment
Use of a Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of a Dictionary
Preferential Seating
Interpreter (Please send class schedule to access@valdosta.edu)
Assistive Listening Device
Closed Captioning
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.

Continue adding courses below or skip to the bottom to sign and submit.

Course #4:

 

 
Extended Testing Time
Reduced Distraction Testing Environment
Use of a Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of a Dictionary
Preferential Seating
Interpreters (Please send your class schedule to access@valdosta.edu)
Assistive Listening Devices
Closed Captioning
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.

Continue adding courses below or skip to the bottom to sign and submit.

Course #5:

Extended Testing Time
Reduced Distraction Testing Environment
Use of Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of a Dictionary
Preferential Seating
Interpreter (Please send your class schedule to access@valdosta.edu)
Assistive Listening Device
Closed Captioning
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.

Continue adding courses below or skip to the bottom to sign and submit.

Course #6:

Extended Testing Time
Reduced Distraction Testing Environment
Use of Word Processor
Record Lectures
Copies of Presentation Materials (eg. Power Points)
Notetaking Assistance
Use of Dictionary
Preferential Seating
Interpreter (Please send class schedule to access@valdosta.edu)
Assistive Listening Device
Closed Captioning
Accessible Table
Accessible Chair
Textbooks in Alternate Format (If you have not already done so, you will need to request textbooks in alternate format using the button on the Access Office page)
Other Text Materials in Alternate Format (ex: handouts)
Course Attendance (Please note that Faculty need to be consulted to determine reasonable accommodation for the particular course (e.g., essential course functions). This process may take the Access Office additional days to complete (an average of 6 business days). Please contact the Access Office if you have not received your copy of the Faculty Letter within six business days. While the Access Office may not be able to secure retroactive accommodation for attendance issues prior to request for accommodation, your agreement will be considered from the date of this request when appropriate in the event that it takes longer for the agreement to be crafted. Please provide the faculty office hours from your syllabus in if available. This information can be entered in the box labeled Additional Information and Details.
I certify that I am the student listed above and that the information on this form is correct to the best of my knowledge.
I Agree