convocation assistance for
students with disabilities
application
Senate and Academic Services, Student Services, MBC 3000
8888 University Drive, Burnaby BC Canada V5A 1S6
TEL 778.782.6930
FAX 778.782.5732
June 2015
FILL IN THIS FORM DIGITALLY, SAVE A COPY TO YOUR COMPUTER, AND PRINT A COPY FOR SUBMISSION.
please note: this request needs to be received in student services (mbc 3200) at least one week prior to your
convocation ceremony, otherwise the university cannot guarantee meeting your request for assistance.
student information
Name _________________________________________________________ SFU student number _____________________________________
Contact telephone ____________________________________ Contact email ______________________________________________________
convocation ceremony
Date (month/day/year) ____________________________________________________ Time morning afternoon
convocation process
The Convocation process is as follows: graduates pick up their reserved regalia and degrees, and form the procession in the North Concourse of the
Academic Quadrangle. The procession climbs a flight of stairs up to the central garden of the Academic Quadrangle, pauses there to re-form the
double lines, proceeds behind the pipers down the concrete stairs leading to Convocation Mall, climbing and descending the ramp of the central dias, and
is seated in the front rows of the audience chairs.
assistance
The University will make every reasonable effort to meet your access needs. Access support can include, but is not limited to: ASL interpretation,
captioning, seating for an attendant, modification of the procession route, provision of assistance to navigate traditional procession route. Please indicate
your intentions regarding the various aspects of this process:
type of accommodation/support requested/required:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Please also address the following questions in order that we might better assist you:
Will you require your regalia and degree ahead of time? YES NO
Will you be bringing attendants to the Concourse? YES NO
Will you be bringing an attendant to Convocation Mall? YES NO
Will you process through the central garden of the Academic Quadrangle?
YES NO
Will you use an elevator to Convocation Mall to rejoin the procession to be seated?
YES NO
Will you require specic seating arrangements (e.g. space for you/your wheelchair)?
YES NO
Will you be crossing the stage (via ramps up and down) to be greeted by the President and Chancellor?
YES NO
Will you need assistance to cross the stage?
YES NO
NOTE: if you need assistance in determining what support might be required, please contact the Centre for Accessible Learning, Simon Fraser
University, 778.782.3112.
freedom of information/protection of privacy
The information on this form is collected under the authority of the University Act (RSBC 1996 c.468 s27[4a]) and University Policy GP-26
Accessibility for Students with Disabilities, and is needed to provide you with accommodation during your convocation ceremony. If you have any
questions about the collection and use of this information, contact the Assistant Registrar, Senate and Academic Services, Simon Fraser University,
778.782.6883. All information is given in confidence.
