Housing & Dining Accommodation Request Form

If you are needing to request accommodations related to housing or dining for disability-related reasons, please fill out this request form below so we can collect some preliminary information to assist us in reviewing your requests.

We encourage you to share as much information as you feel comfortable, as this can help us better understand your request. Providing thorough information and documentation may help the accommodation determination process move as quickly and efficiently as possible.  We will keep your information as private as possible. Our office follows privacy guidelines set forth by FERPA. We won’t share any information with your family or anyone outside of CSU without your consent. We may need to share some information with relevant faculty and staff within CSU, such as your instructors. We keep the information we share as minimal as possible and focus only on what’s relevant to the situation. We are obligated to report any information regarding harm to self or others. We also have to report any information related to interpersonal violence or sexual assault to the CSU Office of Title IX Programs.

Please note, the request for housing and dining accommodations is an interactive process and must be approved by the Student Disability Center before taking effect. We highly encourage students to complete this form and/or contact the SDC in advance of moving into campus housing to ensure their access needs are met.

To request Housing & Dining accommodations:

  1. Complete the Housing Application to initiate the housing assignment process.
  2. Complete this Housing Accommodation Request Form to establish contact with the SDC and initiate the accommodation request process.
  3. Contact the Student Disability Center’s main office at 970-491-6385 or email sdc_csu@colostate.edu to schedule an appointment with an accommodation specialist to further discuss the accommodation request.
  4. If the accommodation request is approved the SDC will contact Housing and Dining about the accommodation and help coordinate the logistics to provide the accommodation.

Notify SDC staff and Housing and Dining staff immediately if you have any questions or concerns about accommodations. You may contact the SDC at 970-491-6385 or sdc_csu@colostate.edu.

 

"*" indicates required fields

Name*
Have you submitted a Housing Application?*
I would like to request accommodations related to the following disability/impairment(s)*
Select all that apply.
Be sure to address all accommodations requested and specify measurements, heights, path of travel, and details required for your effective and equal access.
If you have documentation of your disability readily available, you may upload it to this form to provide to the Student Disability Center as part of the accommodation request process. If you do not currently have documentation at the time of the application, you may submit the application and provide the documentation later, if necessary. Documentation must include specific details about the housing and/or dining needs related to the diagnosed disability.
Drop files here or
Accepted file types: doc, pdf, docx, Max. file size: 31 MB.
    Do you think you will need academic accommodations in addition to housing/dining accommodations?*

    I understand

    • I must meet with the SDC staff after submitting my Housing Accommodation Request Form to complete the accommodation process and arrange the logistics of my housing & dining accommodations .
    • Appropriate documentation is required in order to receive accommodations. 
    • It may be necessary for SDC to discuss my needs for accommodations with other entities on campus as appropriate to my situation.  Specific disability information will only be shared with appropriate university personnel on a need-to-know basis. All efforts will be taken by SDC staff to ensure any information is used in a non-discriminatory manner. 
    Acknowledge understanding*