Contact Information

Randi Goettl
Director of Accessibility Resources

accessibilityresources@inverhills.edu
651-450-3884
L207
651-450-3677, Attn: Randi Goettl
MN Relay Services, 800-627-3529

Registration Form

Fields marked with an asterisk "*" are required.

Student Name:*  
Preferred Name:  
Tech ID:  
Birth Date:*  
Email:*  
Phone Number:*  
Who were you referred By:





 
Do you have documentation that supports your request for accommodations?
Primary Disability / Medical Condition:
 
Secondary Disability(ies) / Medical Condition:
 
Personal Strengths - How have you been successful in getting to where you are today?
 
Functional Limitation(s) - How does your disability affect your academic work? What are some of the challenges you face in the classroom? i.e. seeing, hearing, learning, understanding, testing, physical activities, participation, communication:
 
Do you take any medication and/or experience any side effects or currently experience any medical concerns that may impact learning/concentration/attendance? If "yes" please describe
 
Have you ever used accommodations, assistive technology or other "tools" to help you in your academics?


 
Please specify the requested services that you are seeking with this office:
 
Sometimes knowing more about a students' background will help OAR understand how best to accommodate a student. If you feel it will help guide us, please tell us about how your family, community, culture, race, ethnicity or other factors impacts your disability and education.
 
If you need accommodation for the information session or initial appointment, please specify below