Office of Adaptive Services Forms

Self-Identification Process:

1. Self-Identification & Initial Request (Web Form)
2. Pregnant Students Self-Identification Form (Web Form)
3. Semester Request Form (Web Form)

Accommodation Forms:

(Forms are completed when an appropriate reasonable accommodation is determined)

• Alternate Textbook Format Request (PDF Document)
• Course Materials Agreement (PDF Document)
• Note Taking Assistance Agreement (PDF Document)
• Student Agreement Provision of Interpreters (PDF Document)

Florida SouthWestern State College proudly accepts our legal obligation with the Americans with Disability Act and are pleased to share the responsibility in providing equal access and equal opportunity to college sponsored activities and educational programs. Adaptive Services' goal is to assist students achieve educational success by providing services that empower students while working within the limitations of documented disabilities. If you have a documented disability - permanent or temporary, whether physical, mental or sensory - you may be eligible for reasonable accommodations.

Adaptive Services requires students to provide current documentation of disability within the online Self-Identification & Initial Request Form process in order to determine if the applicant will be eligible to receive services and benefit from reasonable accommodations. The form should be completed with as much information as possible and supporting documentation of disability must be uploaded in PDF format.

The following documentation is insufficient, but will be reviewed on a case-by-case basis:

• Individual Education Plans (IEPs) and 504 plans, unless the individual is a dual enrolled high school student (will need additional documentation once they graduate high school).
  • IEPs are contracts which were structured and agreed to with that particular school at the time they were written. They are not binding agreements with Florida SouthWestern State College.
  • IEPs/504s may be helpful in determining the level of support and types of accommodations which were provided to a student in the past which may give insight regarding successful support in the postsecondary educational setting.
• Letters of Accommodation from other institutions of higher learning may be accepted for transient students for the period of one semester, but these letters do not serve as documentation beyond that time.
• Statements from the Social Security Administration. Their determination of disability differs in purpose and scope, and it does not provide information specific to the disability in an academic setting.