Application for Fred Smithers Centre for Student Accessibility

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Application

Please complete all portions of the following application to become registered with the Fred Smithers Centre for Student Accessibility. Your application will be processed based on the date received.

Please note that while we do use the term “disability” for documentation purposes, we acknowledge that self-identifying words vary from person to person. We welcome all students from the neurodiverse, Deaf and hard of hearing, and diverse ability community. We will always follow your lead on how you would like to be addressed.

When the application form and supporting documentation are received, you will be contacted by the Centre by email to schedule an Intake Meeting with an Accessibility Advisor. During this meeting, an advisor will walk you through the processes of obtaining accommodations within the classroom and for quizzes/tests/exams, as well as all other supports that are available to you.

Are you an international student?Required
I consent to receive email notifications from the Fred Smithers CentreRequired
The Fred Smithers Centre of Support for Students with Disabilities is a division of Student Affairs and Services
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Information SharingRequired
I agree to the Fred Smithers Centre sharing my name, A number and other pertinent information with Admissions, the Service Centre, and other relevant departments (for example Academic Advising) at Saint Mary's University in order to best support my experience at SMU, as well as be considered for Scholarships & Awards.

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY

The Fred Smithers Centre for Student Accessibility together with Saint Mary’s University are committed to protecting the privacy of people who work and study here, as well as people who have previously worked and studied here.

I understand that in submitting this application that my information provided on this form is collected by Saint Mary’s University and is used for the purposes of providing supports and services to students and for statistical purposes including internal annual reports and evaluation of our services. Any information collected will be protected and used in compliance with Nova Scotia’s Freedom of information and Protection of Privacy Act 1993, c5, s.1. For more information on privacy and confidentiality please visit https://www.smu.ca/privacy/privacyatsmufoipop/.

By applying for registration with the Fred Smithers Centre and by utilizing the services of the Centre, students consent to the collection of their personal information and its storage on Accommodate (a confidential electronic database for accommodation and student related information),  and digital files (OneDrive and outlook e-mail) for educational, administrative and statistical purposes. The information is needed to process their application and to confirm their enrolment and registration in academic programs; to provide faculty with information regarding specific academic accommodations without disclosure of a diagnosis; to provide the basis for awards and governmental funding and for related record keeping purposes. Students agree that all information on the application form and supporting documentation submitted to the Fred Smithers Centre for Student Accessibility becomes the property of the University.

Please upload your documentation here:Required

If you do not have documentation download this form and have it completed by a medical professional. Fred Smithers Centre’s Disability Verification Form