Accessibility Services for Students with Disabilities ESA Policy Menu Contact us Michael Cruce, PhD.Director of Student Accessibility Services(402) 465-2149mcruce [at] nebrwesleyan.edu (mcruce[at]nebrwesleyan[dot]edu)For our accommodation appeal procedure, email mcruce [at] nebrwesleyan.edu (Michael Cruce). Short-Term Medical Accommodations Request For current students who are experiencing a short-term medical condition, surgery, or medical recovery and request temporary accommodations please complete this Short-Term Medical Accommodations Form. Accessibility Services will reach out to you to set up an intake interview to set up time limited accommodations. Student Name Student ID (Optional) Address (Optional) City (Optional) State (Optional) - None - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip (Optional) Phone Type (Optional) - Type - Home Cell Phone Email Advisor (Optional) I am a - Select - Incoming new student First year student Sophomore Junior Senior Graduate student Injury/Illness/Condition What is the estimated date or timeline of your injury/illness/condition? (Example: Sept. 1- September 15). This should also be outlined in documentation by your medical provider. Please state how your injury/illness/condition will impact your ability to participate on campus, in classes, or at other events at Nebraska Wesleyan. Schedule Current class schedule Submit Request Leave this field blank
