Banacos Important Forms and Documents

Grant permission for advisors in Banacos and TRIO to coordinate services with this form.

Banacos TRIO Consent Form

This form should be given, along with the documentation guidelines, to an appropriate medical or mental health practitioner. This form is designed to substantiate the existence of a physical, medical or mental health condition, its duration, functional limitations, and recommendations for reasonable accommodations

Condition Verification Form

This form is for students receiving services from a Banacos program to give permission for Banacos staff to share information and records with specified persons. This form must be filled out and submitted to a Banacos advisor to take effect. This form must be used to revoke that consent, as well.

Consent to Release Information Form

This online form is for new students to disclose that they have a disability.  A Banacos advisor will reach out to you to tell you more about our services.

Disabilities Notification Form

This guide is for students to have a comprehensive understanding of the services offered by Disability Services and how to access these services. The guide includes tips for organizing work, talking with professors and studying among other useful tips.  

View the Disability Services Manual

This form is for students to register for services with Disability Services.

View the fillable PDF form
View the large print form

This document is for students and practitioners to follow when writing documentation in support of students’ requests for reasonable accommodations.

View Documentation Guidelines

This request form is for students to submit when requesting electronic texts. Please submit this document when you register for courses at least four business weeks prior to the first day of class to have texts prepared in a timely manner.

Fillable PDF Electronic Text Request
Large Print Electronic Text Request

This online form is for students and guests who may require assistance exiting a building during an emergency.

Emergency Evacuation Assistance Online Form

This online form is for students with approved reasonable accommodations, this form allows you to reserve your exam time at the Banacos Academic Center and communicate your chosen accommodations. Ensure a smooth process for every exam or quiz by submitting this form for every exam or quiz you plan to take at the Center.

Exam Time Reservation Online Form

This agreement is for students and instructors to use to help to determine and document a reasonable and individualized approach to providing extended time on assignments. 

Extended Time on Assignments Agreement

Faculty Recording A Class and Reasonable Accommodations

This guide is for faculty and staff to have a comprehensive understanding of the rights, responsibilities and processed involved in accommodating students with disabilities in addition to suggestions for teaching techniques.

View the Guide

This manual is for students to have a comprehensive understanding of the services offered by the Learning Disabilities Program and how to access these services. The guide includes tips for organizing work, talking with professors and studying among other useful tips. 

Learning Disabilities Program Manual 

This form is for students to request note takers for specific classes.

Note Taking Services Fillable Request Form
Note Taking Services Large Print Request Form

This agreement is for faculty and students to use when a class is to be recorded by the faculty or student. The agreement must be maintained by both the faculty and student. If the student is approved for recording as a reasonable accommodation, the agreement must be sent to the student's Banacos advisor as well. 

Photographing or Recording Lectures Agreement

This form is for students to use to request reasonable accommodations. This form must be submitted by the student to their Banacos advisor every semester.

Reasonable Accommodations Online Request Form
Reasonable Accommodations Fillable Request PDF
Reasonable Accommodations Fillable Request Large Print Form

Handler guidelines during COVID-19 by the Center for Disease Control.

Service and Support Animal Handler CDC Guidelines PDF

Students approved to have an accommodation of a support animal must follow these guidelines.

Support Animals in the Residence Halls, Handler Guidelines