Thank you for registering with Garrett College's Disability Support Services (DSS) office. To complete the registration process, work through each of the tabs on the left. To assist you in this process please have copies of any disability documentation (psycho-educational reports, relevant medical reports, etc.) readily available.

Should you have questions or require assistance during this process, please feel free to contact us via email or phone.

Garrett College Disability Support Services Staff

Ms. Kym Newmann, Coordinator of Student Affairs
Mr. Nick Pratt, Academic Success Specialist: Transfer/Testing
Ms. Karen Linton, Academic Success Specialist: Workforce Development

Email: ADA504@garrettcollege.edu 

Telephone: 301-387-3749 or 301-387-3715 |  Fax: 301-387-3747

STATEMENT OF STUDENT RESPONSIBILITIES

Under the Americans with Disabilities Act of 1990, as Amended, all otherwise qualified individuals have the right to accommodations that allow reasonable access to educational opportunities. In order to receive those accommodations, you have the following responsibilities:

• -- To inform the college of your needs. You must make the request every academic year.
• -- To complete (with or without assistance) necessary registration forms to request accommodations and support services as needed.
• -- To provide the college with documentation of your disability in order to receive accommodations.
• -- To notify your instructors as to the accommodations you have been approved to receive and to adhere to the notification and other requirements outlined in your accommodation letter.
• -- To give instructors and the Advising and Academic Success Center at least 72 hours notice to receive testing accommodations (reader, extended time, etc.).
• -- To keep arranged appointments with tutors/DSS personnel, note takers, interpreters, etc.
• -- To adhere to all college and DSS policies and procedures regarding accommodations and service requests.
• -- To provide attendant care for personal needs while on campus. To strive to be as independent as possible.
• -- To treat the program staff with courtesy and respect.
• -- To take personal responsibility for your education by actively participating in class activities.
• -- To inform DSS staff when you will no longer need a requested accommodation.
• -- To contact DSS staff if instructors are not providing agreed upon accommodations.
• -- To report any grievance to DSS staff if you feel that your needs are not being met.

By signing below, you are agreeing to carry out your responsibilities.

Student Signature

STUDENT INFORMATION

First Name (full, legal name)

Middle Name

Last Name

Date of Birth

Phone

Email Address  (upon completion, a confirmation email along with a copy of this document will be sent to the address indicated here)

I am a...

I am currently living...

Name(s) of person(s) with whom you reside

I graduated from high school...

High School

Graduation Year

Year Received

Major or program of study you are interested in

Garrett College Advisor's Name
(if you have been assigned to one)

DISABILITY INFORMATION

For what diagnosed disability are you seeking disability accommodations?
(check all that apply)

Other

When was this disability first identified or diagnosed?

Have you received disability accommodations for this disability in the past?

Where did you receive these accommodations?
(check all that apply)

Are you a client of a rehabilitation agency?

Other

Please list any medication(s) you are currently taking that may affect your performance as a student and the side effects of those medication(s)

SUPPORT SERVICES REQUEST

Accommodations are established on an academic year basis, and a request to renew must be submitted in subsequent years.

Please indicate the semester and year you are requesting services for. 

Semester

Year

Classroom Accommodation Request
(check all that apply) 

Testing Accommodation Request
(check all that apply) 

Other Accommodation Request
(check all that apply)

I will need assistance in EMERGENCY EVACUATION situations. (If yes, this information will be shared with Campus Security.)

Additional Comments

DOCUMENTATION

Please send copies of any disability documentation you may have, such as psycho-educational reports, relevant medical reports, etc.

IEPs are useful documents to share, but they are usually not enough by themselves. Along with the IEP, please supply the evaluation that was completed at your school.

Email documents to : ADA504@garrettcollege.edu 

If you are not able to email documents, information may be faxed to 301-387-3747 Attn: Disability Support Services.

NOTICE REGARDING RELEASE OF INFORMATION TO OTHERS

The right to access a student’s educational record belongs to the student, not the parent or legal guardian.

Student academic information (such as class schedule, grades, academic standing, conduct records, billing statements, etc.) will be given to the student. It is up to the student to determine who else may receive access.

Students who wish to give permission for Disability Support Services to discuss their grades, academic performance, etc. with their parent/guardian or another agency can authorize such by completing the DSS Authorization to Release Information form located on the student portal at my.garrettcollege.edu (log into the portal, then to Student, and then Online Forms).

SUBMIT FOR REVIEW

Once you have responded to every question on the form, please click the SUBMIT button send your request for services to Garrett's Disability Support Services office.

If there are required questions that remain unanswered, you will see notifications in red at the top of this form.  Please complete the required fields and submit again.

Reminder... Once an accommodation plan is developed, it is your responsibility to share the plan with each of your instructors.

STATEMENT OF UNDERSTANDING AND AUTHORIZATION

By submitting this form, I indicate my understanding that arranging services will necessitate sharing with my instructors information regarding my disability as it relates to my academic welfare.

I give my permission for Disability Support Services personnel to contact my instructors regarding my academic progress, as needed.

I further give my permission for staff to contact medical, educational, or counseling professionals named in my documentation in order to obtain additional information concerning my requested accommodations, as needed.

Student Signature

Please be patient... do not click the submit button again. Once you click submit, it takes several moments for the system to process the request. After a momentary pause, you will receive an on screen confirmation that your request was submitted.