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President's Welcome

Individuals with Disabilities

Prospective Students

EKU is committed to maintaining a barrier-free environment so that individuals with disabilities can fully access programs, services, and all activities at our university.The information submitted on this form will be collected by the Office of Services to Individuals with Disabilities and shared with EKU's ADA Committee unless a specific request for confidentiality is indicated in the comment section below. For response and/or action please complete the follow-up section found at the bottom of the form.

Please express your concerns in the form below. None of the items are required.

I am currently EKU

Faculty
Staff
Student
Visitor

Building and Classroom Accessibility

Acoustics (sound), captions, or transcripts
Doors
Elevator
Flooring
Lights
Ramp or Stairs
Restrooms
Seating and Furniture
Signage
Telephone
Water Fountain
Other
Location
Explain the problem in detail:

Assistive Technology

Assistive Listening Devices
Sorenson or TTY phones
Website Accessibility
Workstation
Other
Explain the problem in detail:

Services

Food Services
Parking
Snow Removal
Transportation
Other
Location
Explain problem in detail:

Communication and Information

Alternative Format
Disability Awareness
Email
Interpreter
TTY
Web Accessibility
Customer Service
Other
Explain problem in detail:

Construction and Renovation

Pathways
Signage
Other
Location
Explain problem in detail:

Does the nature of concern pertain to a program or event?

Yes
No
Program or Event
Date of Event

FOLLOW-UP: Once you submit the form your identity will be kept private. If you would like us to follow-up, please provide your contact information:

First Name (optional)
Last Name (optional)
Telephone (optional)
E-mail (optional)

The following questions are optional and not required.

I do not consider myself to have a disability.
I consider myself to have a disability or disabilities

ADD or ADHD
Blindness or Vision Impairment
Deafness or Hard of Hearing
Head Injury
Learning Disability
Mobility or Physical
Psychiatric or Emotional
Systemic or Chronic Illness
Other

For questions or to follow-up, contact the Office for Services to Individuals with Disabilities, sandy.douglas@eku.edu or by phone at (859) 622-2933. Thank you.

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EKU Office of Services for Individuals with Disabilities
361 Student Services Bldg, Mailbox CPO66
521 Lancaster Avenue
Richmond, KY 40475
(859) 622-2933

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