I understand that completing this form is only the initial step in the accommodation process. Once I am registered with NIACC Disability Services, I will need to meet with a Disability Services Counselor each semester to request accommodations and complete Accommodation Letters for Faculty.

I also understand that I am my own advocate. It is my responsibility to request accommodations and to notify instructors of my need for accommodations. It is also my responsibility to report any concerns I may have regarding accommodations to the Disability Services Office.

Documentation of your disability must be provided to the Disability Services office before accommodations will be provided. I realize that I may need additional documentation upon transferring to another educational institution. It is my responsibility to consult with the transfer institution regarding their documentation requirements.

NIACC Disability Services is committed to ensuring that all information and communication pertaining to a student's disability is maintained as confidential as required or permitted by law.

The following guidelines about the treatment of such information have been adopted by NIACC Disability Services. These guidelines incorporate relevant state and federal regulations.

1. No one will have immediate access to student files in NIACC Disability Services except appropriate staff of NIACC Disability Services. Any information regarding a disability is considered confidential and will be shared only with others within the college who have a legitimate educational interest.

2. This information is protected by the Family Educational Rights and Privacy Act (FERPA).

3. Sensitive information in NIACC Disability Services student files will not be released except in accordance with federal and state laws.

4. A student's file may be released pursuant to a court order or subpoena.

5. If a student wishes to have information about his/her disability shared with others outside the college, the student must provide written authorization to the Counselor for NIACC Disability Services to release the information. Before giving such authorization, the student should understand the purpose of the release and to whom the information is being released. The student should also understand that there may be occasions when the Counselor for NIACC Disability Services will share information regarding a student's disability at his/her discretion if circumstances necessitate the sharing of information and the Counselor has determined that there is an appropriate legitimate education interest involved.

6. A student has the right to review his/her own NIACC Disability Services file with reasonable notification.

I have been informed of the policy regarding confidentiality and the release of information from my NIACC Disability Services file. I understand that NIACC Disability Services may release information from my file to be used in a confidential manner with appropriate college faculty and officials who have a legitimate educational interest while I am a student at North Iowa Area Community College.