Intake Request

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Student Information

Please enter your information

If you have not yet been issued an Acadia ID number, please put N/A.

Please use your Acadia issued email address. If you have not yet been issued an Acadia email, please put N/A.

What year of study are you entering at Acadia (e.g. 1st year, 2nd year, transfer, perspective etc.)

This list includes various categories of disabilities recognized in Canada and may not be comprehensive as our understanding and language continue to evolve.

Please select all that apply.

Requested Accommodation Type(s)
Select all that apply

Due to the variability within each accessibility category the type of accommodations required can vary significantly between individuals.

As such, it is important for you to clarify the particular accommodations you are requesting.

Upload supporting document(s)

To register with our services, we require documentation from a medical practitioner that clearly identifies recommendations for accommodations. This can be a note from your doctor, psychologist, psychiatrist, or a psycho-educational assessment. Please note we are unable to accept IEPs (Individual Education Plans) without either a diagnosis or verification of a permanent/persistent disability.

If you do not have documentation available at this time, please continue with the intake process. We will discuss temporary accommodations during your intake meeting.

Consent/Confidentiality Statement Required

By submitting this form I certify that the information I have provided is accurate to the best of my knowledge. I understand that misrepresenting or providing false information to Accessible Learning Services for the purposes of receiving an advantage is considered academic dishonesty and may be reviewed under the Academic Integrity Policy.

I also understand that information I provide to Accessible Learning Services is considered confidential, as governed by the Nova Scotia Freedom and Information and Protection of Privacy Act. This means we will not share your information without your explicit consent unless exceptional circumstances occur, such as:

  • There is a concern for your safety or others;
  • The information is part of an academic integrity case;
  • We are legally required to do so (such as a court subpoena).

Furthermore, registering with our services does not appear on student's transcripts and is stored in secure location separate from the rest of your student records.