Please express your concerns in the form below. I am currently a UIC Faculty Academic Support Support Staff Student Visitor Patient Nature of Concern (Please indicate all that apply) 1. Building and Classroom Accessibility Acoustics Doors Elevator Flooring Lights Ramp or Stairs Restrooms Seating and Furniture Signage Telephone Water Fountain Other Comment. Explain the problem in detail Building or Room Location 2. Assistive Technology Assistive Listening Devices Computer Access Workstation Other Comment. Explain the problem in detail 3. Services Food Services Parking Snow Removal Transportation Other Location Comment. Explain problem in detail 4. Communication and Information Alternative Format Disability Awareness Email Interpreter TTY Web Accessibility Other Comment. Explain problem in detail 5. Construction and Renovation Path of Travel Signage Other Location Comment. Explain problem in detail 6. Does the nature of concern pertain to a Program or Event at UIC? Yes No Program or Event Date of Event FOLLOW-UP: Once you submit the form your identity will be protected and only known as the "webmailer@uic.edu." If you would like us to follow-up, please provide your contact information: First Name (optional) Last Name (optional) Telephone (optional) E-mail (optional)
The following questions are optional and not required. I do not consider myself to have a disability. I consider myself to have a disability or disabilities ADD or ADHD Blindness or Vision Impairment Deafness or Hard of Hearing Head Injury Learning Disability Mobility or Physical Psychiatric or Emotional Systemic or Chronic Illness Other For questions or to follow-up, contact the Disability Resource Center, Roxana Stupp, via e-mail at rstupp@uic.edu or by telephone at (312) 413-9467. Thank you.
ADD or ADHD Blindness or Vision Impairment Deafness or Hard of Hearing Head Injury Learning Disability Mobility or Physical Psychiatric or Emotional Systemic or Chronic Illness Other
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