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MacEwan University Access and Disability Resources
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Student Information
Welcome to ADR, please complete the following information prior to our first appointment so that we can best assist you. We are located on campus in Building 7, Room 7-166 and we can be reached by email at myaccess@macewan.ca
First Name
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Last Name
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Preferred First Name
Preferred Last Name
Student ID
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Phone Number
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Can a voice mail message be left at the number provided?
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Can a voice mail message be left at the number provided?
Yes
Can a voice mail message be left at the number provided?
No
MacEwan Email Address
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Documentation of Disability
Documentation of Disability
Please upload the documentation(s) of your disability (link to website). Please also include any additional documents that can support your request, including Individual program plans from high school, or Academic accommodation plans from other post-secondary institutions you may have attended.
If you do not have current documentation of your disability, please indicate reason for visit
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If you uploaded documentation, please select 'Documentation Uploaded'
Recommended to meet with ADR by my instructor, counsellor, family member or friend
Suspected Disability
Temporarily disabling condition
Waiting on specialist / medical appointment / documentation
Interested in getting an assessment for learning
Other
Documentation Uploaded
Background Information
Please indicate if you are impacted by your disability in any of the following areas
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Vision
Reading
Organization/Time Management
Hearing
Mathematics
Attention, Focus, Concentration
Mobility, Sitting, or Standing (difficulty sitting in conventional desks/chairs, or navigating class changes in crowded hallways)
Oral Expression
Written Expression
Social Interaction
Manual Dexterity (difficulty working with your hands, and/or difficulty handling small objects)
Stress Management
Memory
Pain (pain that interferes with your studies)
Stamina / Fatigue
Other
Please describe how you are impacted by your disability at school
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Have you received academic supports at a previous school?
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Yes, in high school
Yes, at another post secondary institution
No, I have never received academic supports
Please indicate the types of supports you have received
Exam accommodations such as extended time or a quiet space
Technology such as text to speech or speech to text
Tutoring and/or learning strategies
Lecture capture through recordings or note takers
Technology for exams
Assistance with funding applications
Ergonomic equipment
Alternate format textbooks
Visual aids
CART or FM systems
Interpreter
Other
What are your strengths for learning?
e.g. a good writer, great study habits, perseverance, motivated to learn, etc.
And finally, please share some of your educational career goals
Is MacEwan part of a larger educational plan for your, do you have career goals that your education will support, are you just exploring to better understand your interests? Your response can help us to support you in this current semester and to align supports that will meet both your present needs and future goals.
Document Information
Document Title
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File
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Maximum file size: 10240kb
Description