Accommodation Intake/Request

Grayson College students complete this form at the beginning of every semester for which accommodations are needed.

Welcome to Grayson!

In compliance with the Americans with Disabilities Act (ADA), Grayson College provides reasonable accommodations for students with disabilities and learning differences. Disability is defined in the Americans with Disabilities Act as a “physical or mental impairment that substantially limits one or more of the major life activities of such individual; a record of such an impairment; or being regarded as having such an impairment.” Major life activities include, but are not limited to “functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, working.”


Necessary Documentation


Students requesting accommodations for the first time must complete this intake/request form and submit the following documentation to support their request:


  • Documentation of disability completed by an appropriate professional preferably within the last five years.
  • Older documentation will be considered if recent documentation is not readily available.
  • If you no longer have a copy of your documentation, complete the Consent to Release Information near the end of this form to allow this office to obtain additional information/clarification from your diagnostician, if necessary, while processing the request.
  • Qualifications for Diagnostician/Guidelines for Documentation are available on our Accessibility Services web page linked here. This will assist your diagnostician in preparing your professional documentation of disability.


Time Frame


We recommend that students request accommodations at least 1 week prior to the beginning of each semester or as soon as they realize accommodations are needed. It is possible accommodation approval will be delayed if information is not provided in a timely manner. Typically, the time frame for processing accommodations takes 1 - 2 weeks. However, due to the extremely high volume of accommodation requests and communications received near the beginning of the semester, wait times possibly will be prolonged an additional week or two.


Intake/requests forms are processed in the order received.

The Accessibility Services Office reviews each intake/request and supporting documentation and contacts the student for clarification if needed.


In-person or remote meetings between the student and ASO Coordinator are recommended to discuss accommodations, expectations, and answer any questions the student may have. To schedule a meeting, email hodgej@grayson.edu or call 903-463-8751.


After approval, your professors will be notified of accommodations by the ASO. After receiving notice of approved accommodations, professors may need up to a week to arrange accommodations.


Submitting Documentation


  • File upload link in this form
  • In-person at the Main Campus in Denison. The Accessibility Services Office is located in the Testing Center (SSC-201)
  • In-person at the South Campus in Van Alstyne to Marina Khalaf in the Testing Center (SB-121)
  • Email to hodgej@grayson.edu or accessibility@grayson.edu


For appointments at either campus, contact Jeffri Johnson Hodge at hodgej@grayson.edu or 903-463-8751.


Please enter your Vikings email address below. We respond to Vikings email addresses only (you@vikings.grayson.edu). Individuals who are requesting accommodations for entrance exams may enter a personal email address if they do not have a Vikings email account.

The goal of Grayson College ASO is to assist students in the successful completion of their courses by providing appropriate and reasonable accommodations.


Please carefully read the following student responsibilities.


Documentation Criteria


I understand that Grayson College’s criteria for accepting documentation of a disability and determining accommodations may not be the same as practiced by other colleges, universities, and licensing boards.


I understand that certain programs are designed to prepare students for a licensing exam upon successful completion of the program. It is my responsibility to obtain and submit the necessary documentation to the appropriate licensing board according to their procedures and time frame. The specific requirements for requesting accommodations and documentation of a disability are available on each licensing board's website or in the GC's ASO (SSC-201).


I understand that when transferring to another college, it is my responsibility to contact that college’s office of accessibility to determine their documentation requirements.


Timely Completion of Activities


I understand that it is my responsibility to confirm with my professors that they have been notified of my accommodations. (Preparation of accommodations may take up to one week after professors receive notice of accommodation approvals.)


I understand that I must submit a new request form at the beginning of each semester to continue receiving accommodations. I do not need to submit supporting documentation each subsequent semester.


I will attend class regularly.


I will complete all class and homework assignments on time. I understand that generally the due dates will not be extended for assignments, which already have a deadline of one week or more.


I understand that technical issues and computer malfunctions are not acceptable reasons for late submission of assignments.


Services for Students with Hearing Loss


Sign language interpreting, CART, note taking and/or other services provided during class or at an event, usually require contracting with service providers. Service providers generally wait 15 minutes for students to arrive. Tardiness beyond 15 minutes or failure to provide notice of absences prior to class are unexcused absences and may result in a temporary suspension of services such as sign language interpreting, CART, and/or note taking. I will endeavor to:


  • Be on time for all classes and appointments for which services are provided.
  • Notify the ASO Coordinator as soon as possible if I am unable to attend a class or scheduled event or otherwise do not need services for a class or classes (preferably 48 hours notice). This includes cancellation of a class meeting by the professor.
  • Immediately notify the ASO Coordinator if I no longer need such services.



Acknowledgement of Student Responsibilities


Please enter YES below to acknowledge your understanding of your responsibilities. Otherwise, enter NO. Someone will contact you to answer your questions.


  • I understand that abiding by the above procedures will result in receiving my accommodations in a timely manner.
  • I understand that it is my responsibility to contact the coordinator if my accommodations need revisions or amendments and/or if my schedule changes.
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Student Contact Information

Last name, First name

If you are admitted to Grayson College, enter your Grayson Student ID Number. All others enter N/A.

Please list the degree or certificate you are seeking.

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Will you be a dual-credit student during the semester indicated above?

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Location of classes (Check all that would apply for the indicated semester above.)

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Phone

Where is your permanent residence?

Diagnosis and Accommodations

Multiple selections are allowed

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List your other diagnosis in this space.

If you need to add information about your diagnosis, please share those details here. For example, for Hearing, you might list "Hard-of-Hearing" or "Deafness" or for Specific Learning Disorder, you might list a type of Learning Difference to indicate a subgroup in that category.

Have you requested accommodations at Grayson College within the last five years?

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Please list the accommodations which have helped you be successful in the past.

From the drop down list, please select the accommodations you are requesting for the indicated semester. (Please select anything on the list that applies to your current needs.) If you are requesting additional accommodations - not listed on the drop down list, please type those accommodations in the next box below.

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If you need other accommodations not founded in the dropdown box above, please list those accommodations here.

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Have you spoken to your healthcare provider about your housing needs? List your requests in the space provided and upload your written documentation in the File Upload link near the end of this form. This should be documentation from your healthcare provider.


For an Emotional Support Animal, also see the SA & ESA Housing Intake Form on our Accessibility Services web page to upload your animal's information which should include a recent picture of your animal and current veterinarian records.

Have you already spoken with your healthcare provider to discuss your housing needs? If so, when do you expect to have written documentation?

List your requests in the space provided. Speak with your healthcare provider about your needs and obtain written documentation.

What do you see as your strengths academically?

Academically what do you believe are your weaknesses or areas that you could improve?

Describe your type of disability. Is it a physical or mental disability or a learning difference? How does it substantially limit one or more of your major life activities?

Is there anything else you want to add related to your diagnosis and how it affects your ability to be successful in college (classes, testing, student life and clubs, housing, other activities on campus)? If there is nothing else to share, it is fine to simply type "NO" or "N/A".

The Workforce Recruitment Program (WRP) is a recruitment and referral program that connects federal and private-sector employers nationwide with highly motivated college students and recent graduates with disabilities who are eager to demonstrate their abilities in the workplace through summer or permanent jobs. Please indicate your interest in WRP.

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This email address may be used by the ASO Coordinator or Career Center Staff to send WRP information after your graduation.

  • WRP allows recent graduates to participate if they have graduated within two and a half years of the December release of the database.
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Documentation of a Disability

Do you currently have a copy of your disability documentation available to submit to the Accessibility Services Office? If so, click the appropriate "YES" option. If you do not have a copy of your documentation or have not yet been diagnosed, click "NO".

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Please upload your documentation to your accommodation request form using this file upload or send it as an email attachment to hodgej@grayson.edu. If these methods are not convenient, please contact the Accessibility Services Coordinator at 903-463-8751.

Drag and drop files here or

If a copy of your documentation of a disability is not currently available to you, complete the Consent to Release Information below. This will enable this office to obtain additional information/clarification from your diagnostician, if necessary, while processing the request.



As soon as possible, contact the Accessibility Services Coordinator at hodgej@grayson.edu for information about the Qualifications for Diagnosticians/Guidelines for Documentation. This information will assist you in choosing a diagnostician and obtaining the needed written documentation. You may also visit our webpage to review the Guidelines for Documentation. Our webpage is linked here for your convenience.


I authorize my diagnostician to release information regarding my disability(ies) to the Grayson College Accessibility Services Office. I understand that information obtained by this authorization will be used to determine my eligibility for reasonable accommodations.


A copy of this form will be provided to my diagnostician if needed for verification of my consent.

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