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Online Application

Two easy steps to register
Welcome to the Mercyhurst University Accommodation Request(s) Application. Through this application, you can request accommodations in the following areas:

  • Academic
  • Housing
  • Nutrition/Food Service
  • Service or Emotional Support Animal
  • Accessible Parking

The need could be for a temporary impairment (e.g. broken arm or knee surgery) or for long-term support.

In compliance with section 504 of the Rehabilitation Act of 1973, as Amended, and with the Americans with Disabilities Act of 1990 (ADA), Mercyhurst University recognizes that qualified individuals who have diagnosed or identified learning, physical, or emotional disabilities are entitled to the same benefits from the educational programs of the college as nondisabled students. Mercyhurst University is committed to providing reasonable accommodations to qualified individuals with disabilities unless that accommodation imposes undue hardship or burden or would not alleviate a direct threat to the student or others. The ADA Coordinator and the individual will work together to negotiate and ensure appropriate accommodations that will work for the student. The cost associated with diagnosis, evaluation, and testing is the responsibility of the student.

In addition to completing this application, you must also provide medical documentation and any recommendations for necessary accommodations from your physician or qualified clinician. Supporting documentation should:

  • Be written on letterhead from the provider or facility; be legible and clear.
  • Include the requesting individual’s full name.
  • State the specific disability and date of diagnosis.
  • Describe the diagnostic methodology used to identify the specific disability.
  • Describe the functional limitation(s) associated with the disability.
  • Describe the expected progression and/or stability of the disability.
  • Include recommendations to allow the requesting individual to participate fully and equally in the activity or program.
  • Include the appropriate official signature and contact information for the associated provider or facility.

If the documentation does not provide the necessary information with which to determine reasonable accommodation or if an assessment is more than five years old, a member of the ADA Committee may ask the student for additional documentation or updated assessment.

Mercyhurst University has the right to: deny a request for accommodations, academic adjustments, and/or auxiliary aids and services if the documentation demonstrates that the request is not warranted, if the individual fails to provide appropriate documentation, or if the request is determined to be unreasonable or fundamentally alters the nature or standards of a course.

A student may appeal the decision of the ADA Committee. The ADA Coordinator will provide information on the appeal process. The ADA Committee will make every effort to address appeals in a timely manner.

Please direct inquires and questions to the ADA Coordinator, 814-824-2362 or
Personal Information
  1. Note: Select when you would like to start your services.
  2. Hint: Enter 7 alpha numeric characters.
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Secondary Disability(ies)


    Chronic/Acute Health


    Learning Disability


    Neurological/Nervous System



  2. Affiliation(s)
  3. Ethnicity(ies)

Prior Accommodations

01 Alternative Testing
04 Alternative Formats
08 Internal Only
06 Notetaking Services
02 Classroom Accommodations
05 Housing and Food Service
Course Accommodations
Campus Accommodations

Requesting Accommodations at MU

01 Alternative Testing
04 Alternative Formats
08 Internal Only
06 Notetaking Services
02 Classroom Accommodations
05 Housing and Food Service
Course Accommodations
Campus Accommodations
  1. I understand that I may revoke this consent at any time (via written request) except to the extent that action has already been taken upon this release.
  2. The information I have provided is accurate to the best of my knowledge. By signing, I give consent for Mercyhurst University to contact my treating professional for additional information, if needed. I understand that information I have provided will be reviewed and placed in my permanent file. If yes, please provide your treating professional's name(s) and contact number(s) in the box below.
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