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

Special Dietary Accommodation

St. Norbert College follows the guidance of the Americans with Disabilities Act guidelines concerning residential college dining. Students who require a medical special dietary accommodation, please review the special dietary meal plan accommodation procedure and complete the 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.