Services for Students with Disabilities Accessibility by Building Disability Information Form Disability Accommodations Form Menu Disabilities services contact Sandy McBride Coordinator of Services for Students with Disabilities (402) 465-2346 smcbride [at] NebrWesleyan.edu Laurie Sipple ADA Assistant (402) 465-2352 lsipple [at] nebrwesleyan.edu Nebraska Wesleyan University 5000 St. Paul Ave., Lincoln, NE 68504 Student Disability Information 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, Sandra McBride, Coordinator of Services for Students with Disabilities, 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 -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (Optional) Phone Type (Optional) - Type -HomeCell Phone Email 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 (Optional) Types of accommodations you might need Academic (Optional) Physical (Optional) Other (Optional) CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank