Accessibility Services for Students with Disabilities ESA Policy Faculty Testing Request Menu Accessibility Services for Students with Disabilities ESA Policy Faculty Testing Request Contact us Michael Cruce, PhD.Director of Student Accessibility Services(402) 465-2149mcruce@nebrwesleyan.eduFor our accommodation appeal procedure, email Michael Cruce. New Student Accessibility Application Nebraska Wesleyan is committed to making reasonable accommodations for students with disabilities. If you have a disability and need accommodations, please complete this form and submit it as soon as possible. Once you have submitted this form, Michael Cruce, Director of Student Accessibility, will contact you to discuss your needs. All information will be kept confidential and used only to provide you with reasonable accommodations. If you want additional information about disability services at Nebraska Wesleyan University, visit the Services for Students with Disabilities page. Student Name Address (Optional) City (Optional) State (Optional) - None - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip (Optional) Phone Type (Optional) - Type - Home Cell Phone Email I am a - Select - Incoming new student First year student Sophomore Junior Senior Graduate student Nature of the Disability Disability Hearing Impairment/Deafness Health Impairment (including physical and mental impairment) Visual Impairment/Blindness Specific Learning Disability Mobility Impairment Other… Enter other… (Optional) Explanation Types of accommodations you might need Academic (Optional) Physical (Optional) Other (Optional) Submit Leave this field blank Contact us Michael Cruce, PhD.Director of Student Accessibility Services(402) 465-2149mcruce@nebrwesleyan.eduFor our accommodation appeal procedure, email Michael Cruce.