Accessibility Resources - Student Self Report Logo
  • Accessibility Resources – Student Self-Report

  • Please complete this form prior to meeting with the Accessibility Resources staff at the University of Cincinnati - Blue Ash College.

    Schedule an intake appointment with Accessibility Resources (513) 792-8625 and either complete this form online or bring a printed and completed version of the form along with any disability documentation you have (examples: IEP, psychological testing reports, medical reports, letter from physician, etc.)

    During the intake appointment, the Accessibility Resources staff will review your information with you and discuss services and accommodations that may be appropriate.

    Download PDF version of form

  • Demographic Data and Contact Information

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  • Disability Disclosure

  • Student Self-Report Questions

    Please answer the following questions about the impact of your disability. Please let us know if you require assistance with these questions. 

  • Emergency Information

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