Accommodation Request Form

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Student Information

The Community College of Allegheny County has a strong commitment to diversity, inclusion and the dignity of all individuals.  A significant component of CCAC's vision is predicated on honoring and embracing diversity by creating a welcoming, inclusive college culture that respects individual differences and values the unique experiences and perspectives of all students.  

 

Disabled students may be eligible for reasonable and appropriate accommodations to ensure access to the College’s educational programs.  Disability Resources & Services (DRS) serves the CCAC student community by exploring disability-related accommodation requests, coordinating services, and providing support throughout a student’s time at CCAC. Please provide any documentation and comprehensive responses related to your disability to the questions below. This will help DRS understand your current situation and identify access barriers that you may encounter during your time at CCAC. 

 

Students are also eligible for certain academic modifications and accommodations due to pregnancy or a related condition. The Title IX Team at CCAC provides Title IX Pregnancy Accommodations based on pregnancy or related conditions, including childbirth, termination of pregnancy, lactation, and recovery from any of these conditions. 

 

Students must complete the form below to initiate a request for accommodations due to permanent or temporary disability and/or pregnancy and related conditions.  

 

Have questions or need assistance completing this form?    

Call 412-237-4612 or email DisabilityServices@ccac.edu.   

Please use your university issued email address
Is this request related to a temporary condition? (i.e. physical injury, pregnancy, concussion, etc.)Required

Self Assessment

Upload supporting document(s)

Disability related documentation should provide information on the functional impact of the disability so that effective accommodations can be identified. Criteria for the source, scope and content of documentation differs by disability type. Documentation may include assessments, reports, and/or letters from qualified evaluators, professionals, or institutions. Common sources of documentation are health care providers, psychologists, diagnosticians, and/or information from a previous school.

Additional information about documentation requirements is available online.

Documentation must be uploaded in order to complete this interview form and move forward in the process of requesting accommodations. If you do not have documentation available or have questions, please call 412-237-4612.

Please note: Our system does not allow us to view documents uploaded at HEIC files (from Apple products). If you are using an Apple product, please upload the file as a JPG file. See thislink for instructions on how to convert these files.