Accessibility Accommodation Request

* indicates a required field

Accommodation Request

Please provide all information requested to enable the university to best meet your needs. If you need assistance completing this form, please contact Disability Coordinator Amanda Lopez at 605-394-2533 or at disabilityservices@sdsmt.edu.

Date of Birth
Please use your university issued email address
Please check each item that applies:
Do you receive assistance from Vocational Rehabilitation Services?

Specific Accommodation Information

Please be as specific as possible.

(e.g., magnification equipment, assistive speech device, power wheelchair, etc.

Upload supporting document(s)

​To ensure appropriate and effective accommodations, the South Dakota Mines requires supporting documentation from qualified professionals (e.g., licensed psychologists, physicians, etc.) and/or psycho-educational testing reports. This documentation helps us understand your specific needs and determine the most suitable accommodations for your academic success. We understand that the documentation process can vary depending on individual circumstances. We encourage you to initiate an interactive process with our office to discuss your specific needs and documentation requirements. This collaborative approach allows us to work together to determine the most appropriate and effective documentation to support your requested accommodation/s.