SASS Accommodate Intake Survey

* indicates a required field
Please use your university issued email address

Specific Accommodation Information

Describe your DisabilityRequired

If you have a disability that would affect your learning while at Kenyon, please select the options below that best describe your disability.

If you have one of the disabilities checked below and plan to seek accommodations, you must attach a report of appropriate testing, documenting the disability, tho this Self-Disclosure form.

Please list any medical, mobility or sensory disability that sould be taken into account when assigning rooms (for example, room with a strobe alarm or close proximity to an accessible restroom, etc).

To request a program accommodation Log into Etrieve and complete the appropriate request form(s). The Program Accommodation process and policy is found on the SASS webpages, "Program Accommodations" and "How to Request a Program Accommodation".

Did you receive support services or academic accommodations in high school?Required
Do you plan to seek support services or academic accommodations at Kenyon?

Information on Access to Disability Services


Academic accommodations are individually determined and designed to provide equal access to programs and services for students with disabilities. Accommodation requests cannot alter the essential requirements of a course or program. Accommodations must be requested in a timely manner. Interpreters, captioning, or books on tape must be ordered at least three weeks in advance. A minimum of five days' notice is required for any requested accommodation.


Students must register with Student Accessibility and Support Services (SASS) to receive services. First-year students who submit the disability self-disclosure form will receive a letter from the coordinator of Student Accessibility and Support Services inviting you to submit documentation and set up an appointment to discuss support services at Kenyon. Students are not eligible for accommodations until appropriate documentation has been submitted and reviewed with SASS.


Students should make an appointment to meet with the coordinator of Student Accessibility and Support Services during the first two weeks of the semester. If an interpreter or captioned media is needed, please notify SASS upon acceptance to the College. The students and the coordinator of Student Accessibility and Support Services will review documentation and determine appropriate accommodations during this initial meeting. Accommodation requests are reviewed at the beginning of each semester.


It is the student's responsibility to provide documentation, to Student Support and Accessibility Services, according to the guidelines listed below. Testing must be comprehensive and current (within the past three to five years). Documentation of learning disabilities should include the following:

  1. Diagnostic interview
  2. Aptitude testing
  3. Achievement testing
  4. Information-processing testing
  5. Signature and credentials of the diagnosing professional
  6. List of standardized scores, including all subtest scores
  7. Summary, including potential impact of the disability on learning

Documentation should be received by June 1, 2019. It can be loaded directly in to Accommodate using the upload feature below.

Inquiries regarding documentation or services can be directed to the coordinator of Student Accessibility and Support Services by calling 740-427-5453 or by visiting During the month of July, inquiries should be directed to the Office of Academic Advising and Support at 740-427-5145.


If the student does not have documentation at the initial intake interview regarding a request for academic accommodation, interim services may be provided if the student has received accommodations at the K-12 level or at another post-secondary institution.

Upload supporting document(s)