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SAS Forms

These are forms that students working with the office will need depending on the supports they are accessing. If any of these forms prove inaccessible to you, please contact the office for assistance.

Academic Accommodation Consent Form

Fill out this form if you’re approved for academic accommodations and are requesting access to them for an upcoming semester. Filling out this form requests your accommodation letters for any given semester.

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Test Relocation Form

Fill out this form if you’re approved for testing accommodations and need to take a test with SAS.

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Alternate Format Text Request Form

Fill out this form if you’re approved for alternate format texts and would like us to procure texts in an alternate format for your classes.

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Release of Educational Record

Fill out this authorization form if you’re registered with SAS and need access to your documentation on file and/or a letter describing your approved accommodations to give to someone outside of SAS.

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Sharing Residence/ESA Roommate Agreement

Fill this form out if you’re approved for an emotional support animal (ESA) and will be living with roommates who you haven’t lived with in the past. After you and your roommate(s) fill it out, please send it to SAS.

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Sample Syllabus Statement

Student Accessibility Services:

Clark University is committed to providing students with documented disabilities equal access to all university programs and facilities. If you have or think you have a disability and require academic accommodations, you must register Student Accessibility Services (SAS). If you have questions about the process, please contact the Director of Accessibility Services at or (508) 798-4368. If you are currently registered with SAS, and qualify for accommodations that you would like to utilize in this course, please request those accommodations by filling out the the Academic Accommodation Consent Form on the SAS Forms page in a timely manner.

Contact Information

Student Accessibility Services

Office Location
Office Hours
  • The SAS Office is open on weekdays, typically from 9 a.m. to 5 p.m.