Events & Tours Accessibility Request

This form is for Goucher College employees or departments requesting accessibility services for any on-campus event or tour. The Office of Accessibility will require at least two weeks’ notice prior to the event.
Please complete this form for any accessibility needs:

If you see this don't fill out this input box.

Contact Name *Provide a contact name

Contact Person Phone/Cell *Provide a phone number where the contact person can be reached

Email *Provide an email address

Name of DepartmentProvide the Department Name

Date of Event *Select the Date and time of the event

Location of the Event *Provide the event's location

How long is the event (if applicable)?Provide how long the event is expected to last

Please check which accessibility services you will need: *

American Sign Language (ASL)

Wheelchair

Assistive Listening Device (ALD)

Closed Captioning Videos

Other

Provide accessibility services needed

Other accessibility servicesList other accessibility services not listed above

As you plan your event or tour, please note that policies, practices, and procedures may need to be modified to accommodate an individual(s) with a disability. The OAS office is also aware that one cannot always anticipate accessibility needs in advance, please be patient and flexible as we work diligently with fulfilling the request.