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Medical & Disability Housing Accommodation Request Form
Please review the instructions below and the step-by-step guide to the Housing Accomodation Request Process on our website
Requests for housing accommodations
be accompanied by supporting professional documentation. The care provider
be the student’s family member. That professional documentation will be the basis for determining the conditions necessary or recommended in order to meet the student's medical or disability needs.
Decisions regarding the student's housing accommodation request, specifically guidance as to how students should approach the Housing Selection process and how we assist students as they make building and roommate/suitemate choices, will be made in consultation with the Health Center, Psychological Counseling Center, and Disabilities Services and Support.
Housing accommodation requests must be requested and approved annually.
Returning students who are currently residing on campus
must submit a Housing Accomodation Request form for Fall 2018 housing by
January 31, 2018
. Students must also indicate their
intention to participate in the campus housing process in MyHousing
February 14, 2018
. The deadline for
incoming first-year students
who will arrive on campus for Fall 2018 is
May 31, 2018
; the deadline for
incoming Midyear students
who will arrive on campus for Spring 2019 is
October 15, 2018
Any late requests will receive consideration, but a final decision on said request may be delayed until the next Room Selection process.
All questions may be directed to the Department of Community Living at DCL@brandeis.edu or by phone at (781) 736-5060.
Nature of Disability (Physical and/or Psychological):
Please tell us how this affects your daily living.
Please specify the
rather than a specific room or building that you want.
Minimal Walking Distance
Accomodation Need(s), continued:
you selected "Other", please share any additional conditions that you need.
Please describe how the requested accommodations will aid you in your daily functioning:
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