6.2 Student Intake Form
Genre
Instructional materialDate
2023Author
Behling, Kirsten T.Bellemore, Eileen H.
Bibeau, Lisa B.
Cioffi, Andrew S.
McNamee, Bridget A.
Group
Student Accessibility and Academic Resource (StAAR) Center (Tufts University)Association of American Medical Colleges
Salem State University
Suffolk University
Permanent link to this record
http://hdl.handle.net/20.500.12613/8835Metadata
Show full item recordDOI
http://dx.doi.org/10.34944/dspace/8799Description
This is an example of a pre-intake questionnaire that was designed to facilitate the interactive process. The intention of this form is to 1) gather important information that will inform the intake interview, 2) provide the student with a formal way to disclose their disability, declare impacted major life activities and request individual accommodations, 3) assist the student in structuring their self-report, and 4) inform the student on their rights regarding confidentiality as well as the processes for implementing accommodation plans.Citation
Behling, Kirsten T., Eileen H. Bellemore, Lisa B. Bibeau, Andrew S. Cioffi, and Bridget A. McNamee. 6.2 Student Intake Form. Philadelphia: Temple University Libraries, 2023.Citation to related work
Behling, Kirsten T., Eileen H. Bellemore, Lisa B. Bibeau, Andrew S. Cioffi, and Bridget A. McNamee. Disability Services in Higher Education: An Insider’s Guide. Philadelphia: Temple University Press, 2023.Available at: https://tupress.temple.edu/books/disability-services-in-higher-education
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