Notification of Accommodations

Date*

Today's Date

Student Name*

First and last name

Student ID*

900 #

VCCCD Email*

example@my.vcccd.edu

Phone Number - Best Number to Contact You

Please enter a valid phone number.

Semester/Year*

Ex: Fall 2025 (CURRENT SEMESTER ONLY)

Class - ex: 71012 ENG R101 (only enter ONE class) *

CRN and Class: Can be found in Canvas or on Schedule/Bill

Instructor*

Instructors last name, ex: Bates

Do you want to add a letter for another class?*

YesNo

Class - ex: 70101 MATH R105 (only enter ONE class)*

CRN and Class: Can be found in Canvas or on Schedule/Bill

Semester/Year

Ex: Fall 2025

Instructor*

Instructors last name, ex: Bates

Do you want to add a letter for another class?*

YesNo

Class - ex: 71012 ENG R101 (only enter ONE class)*

CRN and Class: Can be found in Canvas or on Schedule/Bill

Semester/Year

Ex: Fall 2025

Instructor*

Instructors last name, ex: Bates

Do you want to add a letter for another class?*

YesNo

Class - ex: 70101 MATH R105 (only enter ONE class)*

CRN and Class: Can be found in Canvas or on Schedule/Bill

Semester/Year

Ex: Fall 2025

Instructor*

Instructors last name, ex: Bates

Do you want to add a letter for another class?*

YesNo

Class - ex: 71012 ENG R101 (only enter ONE class)*

CRN and Class: Can be found in Canvas or on Schedule/Bill

Semester/Year

Ex: Fall 2025

Instructor*

Instructors last name, ex: Bates

The student noted above qualifies for accommodations through the Educational Assistance Center (EAC) for various services. Due to the student’s disability status, they are entitled to the following:

Other

Extended time for tests/exams of time-and-a-half (1.5x)Extended time for tests/exams of double time (2x)QTE (Quiet Testing Environment)Other

Other

Request for using Notes on Tests/Quizzes

*INSTRUCTOR CONSIDERATIONS: Allowing the use of notes on tests/quizzes is at the instructor’s discretion (i.e. NOT an accommodation) and should not run contrary to the essential requirements of the course. Only the professor can determine whether this request compromises the integrity of the course. Note: It is understood that some courses do not lend themselves to the use of notes on tests, but this should be discussed with an EAC faculty member to ensure all aspects were considered.

We greatly appreciate your flexibility and support. If you should have any questions and would like to discuss the accommodations noted above, please feel free to contact our office and speak with myself or one of our counselors:

Jennifer Ruppert (805) 678-5320 jruppert@vcccd.edu

America Barroso (805) 678-5857 america_barroso1@vcccd.edu

Leo Orange Coordinator – EAC (805) 678-5030 lorange@vcccd.edu

Oxnard College | Educational Assistance Center Student Services Building, Room 118 | 4000 S. Rose Ave, Oxnard, CA 93030