ELL Accommodation Request Form

William Jewell College promotes a diverse and equitable learning environment for all students, including those whose primary language is not English. Students who are completing their first, second, or third semester at Jewell in pursuit of a primary (1st) bachelor’s degree may request 25% additional time to complete exams and quizzes in their courses. This accommodation is considered on a case-by-case basis for students who are able to provide documentation of their ELL status and demonstrate a need for this accommodation. The Director of Accessibility Services will confirm receipt of this form and request supporting documentation within 7 business days. Please call 816-415-7556 or email accessibilityservices@william.jewell.edu if you have any questions or concerns with accessing this form or completing your request.

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Student ID Number *

Primary Language *

Secondary Language(s) *

Semester and year of initial enrollment at Jewell *

Please list all previously awarded degrees or undergraduate work for each college you have attended:

Please provide a summary of any language related accommodations provided in the past:

Additional information that should be considered as part of your request:

Leave this field blank

* Indicates Required Field

ELL Accommodation Request Form

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