1.Please select your enrollment

College Credit Plus Student (In the state of OH)

Dual Enrollment Student (Outside the state of OH)

*2.First Name(Required.)

*3.Last Name(Required.)

*4.E-Mail Address(Required.)

*5.Phone Number(Required.)

6.Date of Birth (Month/Date/Year)

*7.How will you be completing your coursework?(Required.)

Online Courses

Campus Courses

Both Campus and Online Courses

*8.Your diagnosed disability falls into the following category?

(There is much variability within each accessibility category, and therefore, the type of accommodations needed can vary significantly.  Here you will find descriptions of the various types of disabilities recognized in the United States)(Required.)

Attention Deficit Hyperactivity Disorder

Autism Spectrum

Blind/Low Vision

Chronic Health

Cognitive

Deaf/Hard of Hearing

Learning Disability

Mobility

Other

Psychological

Traumatic Brain Injury

Temporary Injury or Condition

*9.How does your disability affect you academically?(Required.)

10.How does your disability affect student life in general (ex. getting around campus and attending class)?

*11.Have you previously used accommodations at school or work?(Required.)

Yes

No

12.What accommodation have you used previously?

*13.What accommodations are you requesting to use at Valor Christian College?(Required.)

Extended time for test taking

Reduced Distraction for test taking

Enlarged font for course materials

Reader for exams

Other (Please be specific.  We will do our best to accommodate your needs).

14.Please provide any additional information that can assist in organizing your accommodations.

Please be prepared to provide your IEP or Medical Information as a follow up to this request.
Please email to learningsupport@valorcollege.edu