Academic Support Services provides services and experiences designed to aid students in achieving academic success.

Special Dietary Accommodation

Students with disabilities whose food health issues may impact their ability to access food services provided by St. Norbert College Dining Services may request special dietary accommodations to mitigate the impact of their disability. If you are interested in receiving meal plan accommodations due to a disability, please read the special dietary meal plan accommodation procedure and complete the special dietary accommodation form below.

Personal Information
*Date:
*First name:
*Last name:
*Student ID number:
*Email address:
*Cell phone number:
*Permanent phone number:
*Permanent address:
*City:
*State:
*ZIP code:
*Campus address:
*Class standing: Freshman Sophomore Junior Senior
Are you currently receiving housing accommodation? Yes No
Disability Information
*Please specify your disability (i.e. Crohns, celiac disease, allergies) and describe how it affects you:
*Please list the specific special dietary accommodations you are requesting and how the accommodations will provide greater access to campus dining:
  I have read the Special Dietary Meal Plan Accommodation Procedure (please check).
  I give my consent to Academic Support Services to consult with Dining Services.
  I am aware that I am assuming a reasonable risk eating at any of the college’s eating establishments.