Assistance Request Form for Programs Abroad

Middlebury College (“Middlebury”) recognizes and supports the standards set forth in Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (“ADA”) of 1990, and similar state laws which are designed to eliminate discrimination against qualified individuals with disabilities in the United States and Vermont. Middlebury is committed to making reasonable accommodations for qualifying students with disabilities as required by applicable law, and does not discriminate on the basis of disability in considering applications to any of its academic programs, including programs abroad.


Participants in programs abroad should recognize, however, that United States and Vermont disability laws do not apply overseas, and that programs and/or institutions abroad may not offer the types of accessible facilities, accommodations or support services that students have come to expect in the United States. Therefore, you should understand that this form is not soliciting requests for accommodations. Rather, Middlebury's hope is that the information provided in response to this form may permit the Middlebury's ADA Coordinators to assist you in determining what level of accessibility, accommodations, and services are available to students with disabilities at the study abroad location(s) in which you are interested.


If you would like the Middlebury to investigate the availability of resources abroad, you should provide, on a voluntary basis, information about your disability to the Disability Resource Center as far in advance of attendance as possible. The information that you provide regarding your needs will be treated in a confidential manner, and shared only on a need-to-know basis with those individuals involved in investigating accessibility issues and the coordination and facilitation of any services and accommodations that are available abroad. 

Note: Your request for accommodation MUST be supported by current and adequate documentation. Middlebury’s documentation requirements are discussed in more detail in our ADA Policy, which is available from the Disability Resource Center. Generally, such documentation must: (1) be prepared by an objective professional qualified in the diagnosis of such conditions; (2) include information regarding the testing procedures followed, the instruments used to assess the disability, the test results, and a written interpretation of these results as they pertain to an educational environment and/or participation in the Middlebury’s programs; (3) reflect your present level of functioning in the area related to the particular accommodations being sought; (4) be appropriately recent. Please note that if you are seeking accommodation for a specific learning disability, there are additional documentation requirements described in the ADA Policy.

Whenever possible, this form should be filled out by the student making the accommodation request.

Files must be less than 15 MB.
Allowed file types: gif jpg jpeg png tif doc docx pdf rtf.