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CARDS Upperclass Student Housing Accommodation Request Application
CARDS Upperclass Student Housing Accommodation Request Application
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Center for Accessibility Resources & Disability Services
Barnard College is committed to providing qualified students who have disabilities an opportunity to access housing accommodations and participate on an equal basis in our educational programs. For more information, please see our
Housing Accommodation process
section of our website.
**Please make sure to enter your 7-digit Barnard ID number when asked for Student ID.**
All students seeking disability housing accommodations must:
---
Be registered with the Center for Accessibility Resources and Disability Services
(including completing the intake meeting) by the deadline listed on the
housing accommodation page of our website
.
--- Submit this request form by the deadline listed on the
housing accommodation page of our website
.
--- Submit supporting documentation that meets our
Disability Documentation Guidelines
from their doctor or treating clinician to cards@barnard.edu as soon as possible, but no later than the deadline listed on the
housing accommodation page of our website
.
Updated documentation must be resubmitted each academic year
.
Please complete this application if you are a returning, transfer, and/or visiting student seeking housing accommodation through CARDS. For more information about the housing accommodation process, please visit the
Housing Accommodations section of our website
.
Please also remember to submit a
Housing Application on the Barnard Housing Portal
.
Personal Information
Start Term
*
:
Select One
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
Note: Select when you would like to start your services.
Expected Graduation Term:
Select One
2001 - Spring
2001 - Fall
2002 - Spring
2002 - Fall
2003 - Spring
2003 - Fall
2004 - Spring
2004 - Fall
2005 - Spring
2005 - Fall
2006 - Spring
2006 - Fall
2007 - Spring
2007 - Fall
2008 - Spring
2008 - Fall
2009 - Spring
2009 - Fall
2010 - Spring
2010 - Fall
2011 - Spring
2011 - Fall
2012 - Spring
2012 - Fall
2013 - Spring
2013 - Fall
2014 - Spring
2014 - Fall
2015 - Spring
2015 - Fall
2016 - Spring
2016 - Summer
2016 - Fall
2017 - Spring
2017 - Summer
2017 - Fall
2018 - Spring
2018 - Summer
2018 - Fall
2019 - Spring
2019 - Summer
2019 - Fall
2020 - Spring
2020 - Summer
2020 - Fall
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
Note: Select when you plan to graduate.
First Name
*
:
Last Name
*
:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 7 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender
*
:
Select One
Female
Male
Nonbinary
Not Specified
Pronouns:
Select One
Any pronouns
He/him/his
He/him/his, They/them/theirs
Just my name please (no pronouns)
She/her/hers
She/her/hers/, They/them/theirs
They/them/theirs
Ze/hir/hirs
Contact Information
Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address
*
:
Local Address
Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Wyoming
International
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
Same as Local Address
Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Wyoming
International
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
Campus Location(s)
Campus Location(s)
Barnard CARDS Office - Diana 307
Additional Note:
Questions
What is your Graduation Year?
Please select below your CURRENT residential status for this Academic Year:
*
(Selection is Required)
Already have a room assignment (requesting room change)
On the Guaranteed List (did not pick a room in the Lottery)
Applied for housing / New Transfer or Visiting Student
Applied for housing / Returning from a Leave of Absence
Applied for housing / Returning from Study Abroad
Applied for housing / Non-Guaranteed Continuing Student (commuter or was not eligible for Room Selection)
Other (Specify Below)
Additional Note or Comment
Have you submitted any previous requests for a Disability Housing Accommodation?
Yes, for the current academic year
Yes, for a previous academic year
No
Additional Note or Comment
Please select below the type(s) of disability for which you are requesting a housing application.
Physical Mobility (PM)
Chronic Medical Condition (CMC)
Visual (VD)
Hearing (HD)
Psychological (PD)
Other (Specify Below)
Additional Note or Comment
If the disability is temporary, please provide the anticipated duration below (or leave blank if permanent):
Please indicate below if you have already sent in your medical documentation for this specific request. All requests must be supported by documentation
following our Disability Documentation Guidelines
. Requests and documentation must be resubmitted each academic year.
Emailed to cards@barnard.edu
In progress and will be submitted to cards@barnard.edu by the priority deadline
Additional Note or Comment
Select below the accommodation(s) you are requesting for which you have a specific disability-related reason supported by documentation. If you select "Other" for something not listed, please be as specific as possible.
Single room
Wheelchair accessibility
Strobe Fire Alarm
Air-conditioning (available seasonally from late May to mid-September)
Room on a lower floor
Semi-private bathroom
Corridor-style bathroom
Kitchen Access
Close proximity to campus
Service Animal
Support Animal
Other (Specify Below)
Additional Note or Comment
Are you requesting a Service or Support Animal?
Not requesting Service or Support Animal
Yes, Service Dog
Yes, Support Dog
Yes, Support Cat
Other (Specify Below)
Additional Note or Comment
Any Additional Housing Preference(s):
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