Enrollment Management and Student Success
Student Counseling and Advising Services
Student Counseling and Advising Services
Enrollment Management and Student Success
UOG Station, Mangilao, Guam 96923-0117
T/TDD: 671.734-2460 | F: 671.735-2442 | Helpline: 671.735.4357
E-mail: sssablan@triton.uog.edu
The University of Guam is an equal opportunity provider and employer.
Dear Student,
Please take the time to complete this form and evaluate your accommodation services to provide information
on areas of strength and areas in need of improvement.
Attached is an Accommodations Service Evaluation Form to be completed at your earliest convenience and
return to the Student Counseling and Advising Services Accommodations office, Student Center Rotunda,
Office #4. You may submit your responses via fax (Fax: 734-2442), email (sssablan@triton.uog.edu), or hand
deliver to the EMSS office.
You are
not
required to identify yourself, but if you wish, you may do so voluntarily. Should you have any
questions, please do not hesitate to call my office at 735-2460 or via email sssablan@triton.uog.edu
Your participation is appreciated and valued.
Sincerely,
Sallie S. Sablan
Student Academic Counseling Specialist with
ADA Specialization
Student Counseling and Advising Services
Attachment
Enrollment Management and Student Success
Student Counseling and Advising Services
Student Counseling and Advising Services
Enrollment Management and Student Success
UOG Station, Mangilao, Guam 96923-0117
T/TDD: 671.734-2460 | F: 671.735-2442 | Helpline: 671.735.4357
E-mail: sssablan@triton.uog.edu
The University of Guam is an equal opportunity provider and employer.
ACCOMMODATION SERVICES
EVALUATION FORM
Accommodations were provided to you during this past academic year and we are eager to know how well the
accommodations have worked and what suggestions, if any, you can provide. Please take a few minutes to
complete this questionnaire and return it to the Student Counseling and Advising Accommodations
Office, Student Center Rotunda Office #4.
1. Check mark the semester this evaluation form is evaluated:
___ Fall ___ Spring ___ Summer A/ B/ C (circle appropriate session)
2. Is this the first time that you are utilizing our Accommodation Support Services?
Yes ___ No ___
3. If your answer to question #2 is “yes”, how did you learn about the SCAS accommodations office?
___ Student Orientation
___ UoG Website
___ UOG Catalogue
___ Handouts/Flyers
___ Professor
___ Registration
___ Academic Advisor/Counselor
___ Advertisement/publication
Name of publication
___Other: (specify)
4. What type of academic adjustment(s)/support services did you receive this semester?
___ Extended time to complete in-class assignments
___ Extended time to complete exams/tests
___ Excused attendance due to disability
___ Copy of class notes / lectures / power point presentations
___ Additional printing
___ Preferential Seating, i.e., in the front of class, seating near exit, close to professor
___ Modified furniture (separate desk and chair)
___ Alternative equivalent assignment
___ Note taker
___ Behavioral Counselor
___ Sign Language Interpreter
___ Use of a personal computer or tablet
___ Digital Voice Recorder or other approved recording device
___ Calculator (when appropriate)
___ Large print handouts or other printed material
___ Other: _____________________________________________________
___ Other: _____________________________________________________
___ Other: _____________________________________________________
Enrollment Management and Student Success
Student Counseling and Advising Services
Student Counseling and Advising Services
Enrollment Management and Student Success
UOG Station, Mangilao, Guam 96923-0117
T/TDD: 671.734-2460 | F: 671.735-2442 | Helpline: 671.735.4357
E-mail: sssablan@triton.uog.edu
The University of Guam is an equal opportunity provider and employer.
5. How would you rate your service provider (i.e., note taker, interpreter etc…)?
___ excellent ___ adequate ___ poor
Comments:
_______________________________________________________________________________
______________________________________________________________________________
6. Were you satisfied with the academic adjustments provided to you? Please explain why?
_______________________________________________________________________________
_______________________________________________________________________________
7. If you were not satisfied with your academic adjustment or service provider, did you notify anyone of
your dissatisfaction? (If so, when?)
_______________________________________________________________________________
_______________________________________________________________________________
8. What assistive technology (if any) was provided to you?
_______________________________________________________________________________
_______________________________________________________________________________
9. What suggestions would you offer to improve the quality of the assistive device?
_______________________________________________________________________________
_______________________________________________________________________________
10. Did your Professor(s) provide the academic accommodation(s) stated in your letter?
____ Yes ____ No
If No please explain.
_______________________________________________________________________________
_______________________________________________________________________________
11. Did you meet with your Professor(s) during the first week of the semester to discuss your academic
accommodation(s)?
____ Yes ____ No
Why Not?
_______________________________________________________________________________
_______________________________________________________________________________
12. Did you receive your academic accommodation(s) in a timely manner?
____ Yes ____ No
Why Not?
_______________________________________________________________________________
_______________________________________________________________________________
Enrollment Management and Student Success
Student Counseling and Advising Services
Student Counseling and Advising Services
Enrollment Management and Student Success
UOG Station, Mangilao, Guam 96923-0117
T/TDD: 671.734-2460 | F: 671.735-2442 | Helpline: 671.735.4357
E-mail: sssablan@triton.uog.edu
The University of Guam is an equal opportunity provider and employer.
13. Did you have problems with accessibility to any of the facilities at the University? If so, please
indicate where and what suggestion would you offer to make it accessible?
_______________________________________________________________________________
_______________________________________________________________________________
14. Would you be requesting support services from our office the upcoming semester?
____ Yes ____ No
If no, please explain why?
_______________________________________________________________________________
_______________________________________________________________________________
15. In what ways have accommodations provided to you made a difference in your college experience?
_______________________________________________________________________________
_______________________________________________________________________________
16. In what ways is college making a difference in the quality of your life?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
___________________________________________________________________________ _
17. What suggestions/recommendations can you offer to improve our services? Please be specific.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________