Accessibility Services for Students with Disabilities New Student Accessibility Application Returning Student Accommodations Request Short-Term Medical Accommodations Request ESA Policy Faculty Testing Request Accessibility by Building Menu Contact or vist us Michael Cruce, PhD.Director of Student Accessibility Services(402) 465-2149mcruce [at] htvdirect.net (mcruce[at]nebrwesleyan[dot]edu)For our accommodation appeal procedure, email mcruce [at] htvdirect.net (Michael Cruce). New Student Accessibility Application Nebraska Wesleyan is committed to making reasonable accommodations for students with disabilities. If you have a disability and need accommodations, please complete this form and submit it as soon as possible. Once you have submitted this form, Michael Cruce, Director of Student Accessibility, will contact you to discuss your needs. All information will be kept confidential and used only to provide you with reasonable accommodations. If you want additional information about disability services at Nebraska Wesleyan University, visit the Services for Students with Disabilities page. Student Name Address (Optional) City (Optional) State (Optional) - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (Optional) Phone Type (Optional) - Type -HomeCell Phone Email I am a - Select -Incoming new studentFirst year studentSophomoreJuniorSeniorGraduate student Nature of the Disability Disability Hearing Impairment/Deafness Health Impairment (including physical and mental impairment) Visual Impairment/Blindness Specific Learning Disability Mobility Impairment Other… Enter other… (Optional) Explanation Types of accommodations you might need Academic (Optional) Physical (Optional) Other (Optional) Submit Leave this field blank