Accessible Learning Services Confidential Intake Form

  • 1
    Registration Instructions
  • 2
    Intake Information
  • 3
    Additional Information
  • 4
    Statement of Confidentiality
  • 5

Registration Instructions

  1. Fully complete this form and submit with documentation of your disability to Accessible Learning Services by scanning and emailing to als [at] or by faxing to 905-575-2388. All information is confidential to Accessible Learning Services
  2. Contact Accessible Learning Services to arrange for participation in a Group Information and Registration Session 905-575-2211 or als [at]
  3. Students with permanent or temporary disabilities are required to provide documentation outlining the functional limitations of the disability in order to receive academic accommodations. The disability diagnosis does not need to be specified. Interim accommodations pending receipt of appropriate documentation is possible

We also have a PDF version of the Intake Form that you can fill in on your computer or print off and fill in by hand. You can email the completed form to als [at] or drop it off at The Square at the Fennell, Stoney Creek, and McMaster campuses.