Disability Services - Registration Form

Connect With Us

Contact Info

Turley Student Services Center
Suite 316
Phone: (304) 333-3661
TTY: (304) 367-4906
access@fairmontstate.edu

Andrea Pammer, MA
Licensed Psychologist
Director of Counseling & Disability Services
Turley Student Services Center
Room 316G
Phone: (304) 367-4686
1-800-641-5678 Ext.8
Andrea.Pammer@FairmontState.edu

Amy Snively, MS, MEd
Academic Coach/Program Specialist
Turley Student Services Center
Room 316C
Phone: (304) 367-4651
asnively@fairmontstate.edu

Video Phone Users:
IP 129.71.73.203

Steps to Register with Fairmont State University Disability Services

  1. Complete the registration form below.
  2. Call 304-333-3661 to schedule an appointment for an intake, if you do not hear from us within 2-3 buisness days. There are times when we experience intermittent delays in email corresponce, so this will ensure prompt attention to your request.  
  3. Provide official documentation of your disability at the initial intake (appropriate documentation is one of the following: a letter from your health care provider that is typed, on letterhead, dated and contains all the information in this sample letter;  a complete evaluation report;  an IEP or 504 Plan from your school; or documentation from a previous institution of higher education).  Provisional accommodations may be granted for no longer than one semester without complete documentation as long as as the evidence presented supports the presence of a disability.  Students are required to obtain sufficient documentation for continuation of services beyond one semester.  
  4. Contact your local Division of Rehabilitation Services for additional resources. In West Virginia, call toll free 1-800-642-8207.

If you have questions regarding the registration process, please call 304-333-3661.

Pierpont Community & Technical College students should visit the Pierpont Community & Technical College website to register for disability services.  

If you live on campus and your diagnosis is important for residence life staff to be aware of (e.g. diabetes, seizure disorder, etc.) for safety reasons, but you are not requesting housing accommodations,  please email Residence Life.

 

Registration Form
ex. jdoe@students.fairmontstate.edu or jdoe@students.pierpont.edu If you do not have an institution email address yet please enter your personal email.
Home Address
Local Address
YesNo
Caring for yourself
Hearing
Breathing
Seeing
Talking
Walking/Standing
Lifting/Carrying
Completing Assignments
Managing time
Memorizing
Paying attention in class
Reading at a good rate
Understanding what I read
Taking Notes
Doing math calculations
Doing math word problems
Following directions
Spelling
Finishing tests on time
Putting thoughts into writing
Getting organized
Proofreading
Being motivated
Staying on task
Sleeping
Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png bmp tif txt rtf html pdf doc docx ppt pptx xls xlsx xml.

Please submit your completed registration form below. Completion of this form alone does not warrant accommodations. Through individual consultation, accommodation, and service, we engage in an interactive process with each student to understand how his or her disability intersects with the institutional environment, and how accommodations would reduce barriers and not fundamentally alter essential components of the course, program, activity, or experience. If you are not contacted within 2-3 business days, please call 304-333-3661 to schedule an intake. As mentioned above, there are times when we experience intermittent delays in email correspondence, so this will ensure promt attention to your request for services. Thank you!
 

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