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Disclosure of Disability Form

Williams Baptist College is committed to providing all students with optimum learning experiences. This commitment applies to students who have special needs due to a disability.

If you have a disability and will need accommodations while attending WBC, please complete this form. 

Full Name*


Full Mailing Address*


WBC degree you are pursuing

Will you require accommodations each semester?

What is the nature of your disability?

Please describe how your disability impacts your academic success:

Describe effective accommodations that you have received during your educational career:

Please sign (by retyping) your name and include today's date:*


Please note:

Accommodations will only be implemented after the student's needs are determined. You will need to provide documentation from an external source.  This may include educational or medical records, reports and assessments created by health care providers, school psychologists, teachers or the educational system.  This information is inclusive of documents that reflect education and accommodation history, such as Individual Education Program (IEP), Summary of Performance (SOP), and teacher observations.  External documentation will vary in its relevance and value depending on the original context, credentials of the evaluator, the level of detail provided, and the comprehensiveness of the narrative.  Disability documentation should be current or relevant, but not necessarily "recent."