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Online Housing Application

Two easy steps to register
This application is to be completed by the student.

Welcome to Accessibility Resources at Randolph-Macon College! Please complete the application below in its entirety. This will help us get to know you and better serve your needs. This application should be completed, including the submission of appropriate disability documentation and a consultation with the Director of Dining Services, as needed, no later than March 15th for returning students, and June 1st for incoming students. While students can submit a completed housing/dining request after the priority deadline above, there is no guarantee that, if approved, the requested accommodation will be provided during the upcoming/current academic year. The Director of Dining Services, Jude Martin, can be reached by email at jmartin2@parkhurstdining.com.

Disability housing/dining accommodation requests must be renewed every academic year. Returning students who are requesting the same housing/dining accommodations that were previously approved by Accessibility Resources do not need to submit additional disability documentation or consult with Dining Services unless contacted directly by Accessibility Resources staff. More information regarding requesting housing/dining accommodations, including how to appeal a determination, can be viewed at the following link: https://www.rmc.edu/academics/academic-support/accessibility-resources/applying-for-accommodations/.

The information you provide in this application is part of your official records as a student and is protected by the Buckley Amendment (FERPA). Information will not be released or discussed without your consent except to College officials having legitimate interests. Requests for disability housing/dinning accommodations will be reviewed by Accessibility Resources and Residence Life staff. Accessibility Resources staff may consult with other appropriate officials as needed, including representatives from Counseling Services, Student Health Center, Physical Plant, Dining Services, Registrar’s Office, Higgins Academic Center, Dean’s Office, AND outside legal and medical consultants. Additionally, College officials may need to speak to your off-campus diagnostician. By completing this application, you give your consent for Accessibility staff to share this information with any other appropriate professionals as needed.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 6 alpha numeric characters.
  8. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.

Questions

  1.  
    Have you been diagnosed with a disability/medical condition? * (Selection is Required)
  5.  
    Have you used housing/dinning accommodations in the past? If yes, please describe what accommodations you utilized, which school provided accommodations, and if they were helpful or not in the text box below. If no, please describe your previous living situation and what challenges, if any, you experienced in the text box below. * (Selection is Required)
  6.  
    A consultation with the Director of Dining Services is required for students requesting dining accommodations. If you are requesting dining accommodations, have you consulted with the Director of Dining Services? * (Selection is Required)
  7.  
    Please let us know if you identify with any of the following groups. (Select all that apply)
  8.  
    How did you hear about Disability Services? (Select all that apply)
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