Disability Support Services Forms
For students enrolled in a Canisius College program, or those attending orientations
Exam proctor form for students either registered with DSS or make-up exams.
For students with permanent disabilities
DSS registered students, who qualify to receive a note taker as an accommodation must fill this out for each class, each semester they need a note taker
DSS registered students, who qualify to receive books in alternative format as an accommodation must fill this out for each class, each semester of need
This form allows DSS to release information for a variety of reasons
DSS registered students, who are in need of housing accommodations must fill this out each academic year of need
DSS is dedicated to academic excellence and is, therefore committed to establishing and maintaining an atmosphere of trust. All students registered with our office must sign this statement.
For students with a temporary disability such as a broken bone, surgery, accident, etc.)
Testing Accommodation Request
Requests should be submitted one week in advance. If you have any questions on the testing accommodations, please contact Anne-Marie Dobies, at firstname.lastname@example.org or (716) 888-3748.
DSS registered students, must update their contact information each academic year
For students seeking DSS registration, who have been documented with another professional, office or organization
Fill out this form to have someone from the DSS Office contact you regarding registering with the office