COVID-19 Health and Safety Related Request Form

The COVID-19 Health and Safety Related Requests Team has been formed to review requests which would fall outside the bounds of standard Americans with Disabilities Act and/or Section 504 of the Rehabilitation Act of 1973 (ADA/504) requests. The Team is comprised of representatives from Academics, Disability Support Services, Student Affairs, IT, Facilities, Human Resources, and Equity and Compliance. The Team will address requests which would not be directly related to a disability of the applicant (student, staff, or faculty member), but are COVID-19 related.

Faculty, Staff and Students wishing to seek assistance through the COVID-19 Health and Safety Related Request Team, should submit requests by using the form below. Additionally, faculty and staff may submit a request on behalf of a student using this same form.

****Instructional Faculty wishing to request a change in the instructional modality of their course(s) should first follow the process communicated by the Academic Affairs Office.

It should be noted that standard ADA/504 requests, will not be reviewed by the COVID-19 Health and Safety Related Requests Team. Such accommodation requests will be processed using the existing policy and procedure. Questions regarding that process, can be directed to those listed below:

Students: Disability Support Services Phone: 301-387-3749 or Email: ADA504@garrettcollege.edu

Employees: Office of Human Resources Phone: 301-387-3049 or Email: HR@garrettcollege.edu

Your Information

Your full name:

Your position/title:

Your phone number:

Your email address:

Address or Campus Location:

Details About Your Request

Due to the varying nature and extent of the impact of the COVID-19 Pandemic, requests will be reviewed on a case-by-case basis. Based upon the information provided below, the COVID-19 Health and Safety Related Request Team will make a good faith effort to provide a thorough review of each request and provide a thoughtful and timely response to the applicant as to whether or not the request can reasonably be met. Please be as detailed as possible when completing the questions below.

Please state your request. Be sure to be as detailed as possible. (Required)

Please state the reason for your request. Be sure to be as detailed as possible. (Required)

Please provide any additional information you wish to state.