Accessibility Resources Initial Registration Form

Instructions

Any student requesting an ADA Accommodation and/or an ESL Testing Modification for the first time at the College of Law must fill out this form.

This form is for first-time requests only. If you're a returning student trying to renew your accommodations or modifications, please log into your accommodate student portal.

If you are seeking changes to your current accommodations or modifications, or need to amend your request please email ada@law.stetson.edu.

Intentionally falsifying or misrepresenting medical documentation and/or an accommodation request are violations of both the Honor Code and the Code of Student Conduct. Violations will result in serious sanctions, including but not limited to reporting to the Board of Bar Examiners. Honesty and integrity are core tenants of our law school community and the legal profession. Accommodation requests must be submitted in good faith.

First Name

Last Name

Middle Initial

Personal Pronouns

She/Her/Hers, He/Him/His, They/Them/Theirs, etc.

Student ID

Enter your 800# without dashes or spaces, e.g., "800XXXXXX."

Email

Please use your Stetson Law email address. If you are participating in a Study Abroad program, but attend another law school, please use your home law school email address.

Preferred Phone Number

Month/Year of Matriculation

e.g., Fall 2025

Intended Date of Graduation (Month/Year)

What semester or session are you requesting accommodations and/or modifications?

You may only select one semester or session as every student must renew their accommodation and/or modification request each semester and session.

Instructions:
Please review policy on Testing Modifications for Foreign Students at http://www.law.stetson.edu/policies before submitting this form. Please complete this form and submit to the ADA Coordinator by the date for Exam Accommodations listed on the Academic Calendar.

NOTE: This modification request must be renewed each semester. A testing modification for foreign students is not considered a disability accommodation under the Americans with Disabilities Act in accordance with Title III of the Americans with Disabilities Act of 1990 and ADA Amendments Act of 2008, and the Rehabilitation Act of 1973 (Section 504, as amended).

What is your native language

If yes, please explain

Who referred you?

Do you have any other information you feel relevant for the ADA Coordinator to consider?

Types of information could include explanations to the YES/NO responses above, English Proficiency Testing Scores, etc.

What work or task has the service animal been trained to perform?

Is there anything else you would like to share about your service animal?

While not required, the animal's name, breed, and suggestions for student, staff, and faculty interaction, etc. to assist in proving you support.

Name of ESA:

Breed of ESA:

What are your housing accommodation needs?

Describe the nature of your disability.