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Academic accommodation self-assessment form

Please ensure that you have completed the AccessAbility Services online application prior to completing this form. The Academic Accommodation Self-Assessment Form enables you to begin the registration process with our office without any formal documentation verifying your condition.

This form will help us learn about the barriers you are experiencing in the academic environment so that we can begin to design your individualized accommodation plan.

Privacy Statement

Documentation submitted to this site is kept strictly confidential and will only be viewed and stored by AccessAbility Services. In accordance with Section 39(2) of the Freedom of Information Act, 1990 ("FIPPA"), the information within the form is collected under the authority of the University of Waterloo for the purpose of interim academic accommodation planning. All personal information collected will be used, stored, and destroyed in accordance with the University's Information Protection and Access Policy.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.