Welcome to Bellarmine University Disability Services. In order to receive accommodations, students must complete the following form and attach documentation of disability. If you have questions about what type of documentation to include, please review the University's documentation guidelines at http://www.bellarmine.edu/studentaffairs/disabilityservices/ . To receive prompt accommodations and services, students are advised to submit a request with documentation at least two weeks in advance of when they would like accommodations to be implemented. Please note that some accommodations may take longer to implement than others. If problems or questions arise, please contact us at email@example.com. Please read all instructions carefully when completing this form. You MUST COMPLETE ALL FIELDS before submitting this form.
Students whose disabilities, chronic conditions, or temporary injuries may interfere with their ability to safely evacuate their residence halls or university apartments unassisted in the event of an emergency or evacuation, are encouraged to alert Disability Services by completing this form. This information will be shared with the Office of Public Safety, Residence Life Office, and the local Fire Department.
Students with evacuation assistance needs are advised to contact the Office of Public Safety at 502.272.7777 for individual emergency preparedness and planning consultation. Additionally, students are advised to learn the evacuation plans and routes for their residential and academic buildings.
Individuals with disabilities may be at greater risk during evacuations. The research shows that self-awareness and preparedness affords individuals the best chance for a safe evacuation. Disability Services strongly encourages all students who believe that their conditions may interfere with their safe evacuation to take full advantage of the Office of Public Safety preparedness training. A useful guide to consult is the “Emergency Evacuation Preparedness Guide” for individuals with disabilities, which is available on the web at: http://www.hfcdhp.org/wp-content/uploads/Emergency_Evacuation.pdf for a PDF version and for a text version: http://www.hfcdhp.org/wp-content/uploads/Emergency_Evacuation.txt
Information provided to Disability Services is protected by FERPA and granted the same level of confidentiality as other student records, which may only be shared with other institutional employees/departments on a “need to know” basis or with your written permission. Disability Services records/information are not covered by state laws that govern mental health records. As such, the Director of Disability Services may be obligated to report information such as sexual assaults, criminal/judicial misconduct or academic dishonesty.
In order to determine reasonable accommodations and to coordinate your academic adjustments/accommodations, Disability Services will need to communicate with university’s administration, faculty and/or staff. Information that is shared will be limited to only essential information (i.e. that you have a documented disability and what accommodations you are eligible to receive).
I give permission for staff of Disability Services to share information about my disability-related needs on a need-to-know basis. I understand that this authorization may be withdrawn at any time by submitting a written, signed, and dated request to the Director of Disability services.
All students with an approved service or assistance animal will be encouraged to keep an animal indication sticker on their door. This sticker will help alert emergency personnel to the presence of an animal in an emergency situation.
Additionally, disability documentation is required to consider a request to have an assistance animal reside in Bellarmine University housing as a disability accommodation. For information on this process, please refer to the Disability Services Handbook at http://www.bellarmine.edu/studentaffairs/disabilityservices/.
If you have not done so already, please submit documentation from a qualified medical professional or other treatment provider in support of your requested accommodation(s). Please review documentation guidelines found on Disability Services homepage at http://www.bellarmine.edu/studentaffairs/disabilityservices/. You must complete the following Evacuation Assistance Form or indicate below that you do not need assistance with emergency evacuation.