Reporting Disability at Disability Support - Reporting Disability at Disability Support

First name

Last name

Student number

UM email address

Study programme(s)

Faculty / faculties

Do you want to make a report without requesting facilities?

Yes, only report

No, also request facilities

Have you applied for UM facilities before?

Yes

No

Which diagnosis is applicable (check the box; multiple answers possible)

Dyslexia

Dyscalculia

AD(H)D

Autism (ASD)

Hearing disability

Visual disability

Physical disability

Mental disorder (e.g. chronic depression, Post Traumatic Stress Disorder / PTSD or bipolar disorder), namely:

Chronic disease (e.g. diabetes, asthma, rheumatism, Crohn’s disease), namely:

Other, namely:

Please note: It is not always possible to receive the following facilities. It depends on your individual situation. See the facilities per faculty or educational unit.

Most used facilities:

Extra time written/computer exams (25% to a maximum of 30 minutes)

Smaller exam room

A3 format if exams are on paper

Enlarged font size if exams are on paper

Other facilities: Check the box(es) and explain below why these facilities are needed. Please note: These facilities are not always available.

ReadSpeaker TextAid for self-study (word processing software with a read aloud function)

ReadSpeaker TextAid for exams (word processing software with a read aloud function)

Use of a laptop/computer

Extension deadlines papers/essays/assignments

Adapted timetable: specific arrangement with respect to times of tutorial groups and lectures

Disabled parking place

Please explain why you need the requested facilities: