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Request for reasonable adjustments for doctoral students with disabilities

Last name ^*

First name ^*

Student number ^*

E-Mail ^*

Academic level: Doctorate

DepartmentUse Alt arrow down or up to make a choice. ^*

Situation ^* Please describe your health situation (including diagnosis as per ICD-10) and disability-related disadvantages with regard to performance assessments. Please describe your health situation (including diagnosis as per ICD-10) and disability-related disadvantages with regard to performance assessments.

The application for reasonable adjustments is valid for ^*

a specific exam a specific semester all doctoral studies

The application for reasonable adjustments relates to ^*

Written examinations Oral examinations Other performance assessments

Type and scope of measures ^* In as much detail as possible, describe the measures which, from your point of view, are required to compensate for the disadvantages generated by your disability. In as much detail as possible, describe the measures which, from your point of view, are required to compensate for the disadvantages generated by your disability.

Is this your first request for reasonable adjustments at ETH? ^*

Yes No

Have you ever been granted reasonable adjustments at another educational institution due to disability? ^*

Yes No

The following supporting documents are enclosed with this request:

Medical certificate Confirmation of reasonable adjustments at previous educational institutions Further documents

Please upload documents in PDF format ^*

By sending the request you acknowledge that your documents in support of the request for reasonable adjustments may be passed to the responsible internal offices, insofar as this is required for decision-making and implementation of measures.

I would like to receive a copy of the form content by email.

Email

Note: The data will be sent unencrypted via Internet and may possibly be read by third parties.

^* Fields marked with an asterisk are mandatory.

Please check your information:

Thank you. Your request has been submitted

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ETH Zurich
Rectorate

Departments

D-ARCH Architecture
D-BAUG Civil, Environmental and Geomatic Engineering
D-BIOL Biology
D-BSSE Biosystems Science and Engineering
D-CHAB Chemistry and Applied Biosciences
D-EAPS Earth and Planetary Sciences
D-GESS Humanities, Social and Political Sciences
D-HEST Health Sciences and Technology
D-INFK Computer Science
D-ITET Information Technology and Electrical Engineering
D-MATH Mathematics
D-MATL Department of Materials
D-MAVT Mechanical and Process Engineering
D-MTEC Management, Technology and Economics
D-PHYS Physics
D-USYS Environmental Systems Science

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