Curricular adjustment request You are here Home Campus life Health and well-being EBS students and ESH students Curricular adjustment request
Form Demand for curriculum adjustmentDEMAND FOR CURRICULUM ADJUSTMENT FOR RETURNING STUDENTS UNDER THE CONDITIONS PROVIDED FOR INCLUSIVE HIGHER EDUCATION DECREE.This questionnaire is intended to establish the applicant's file. The data collected will be processed in strict compliance with privacy legislation. Personal information Name ( optional ) First name ( optional ) E-mail address ( optional ) Cell phone number ( optional ) Legal address ( optional ) Kot address ( optional ) Date of birth ( optional ) UNamur student card number Academic information Training chosen at Unamur ( optional ) - Select -bacheliermasterPhD Education level Co-diploma training ( optional ) yes ( optional ) no ( optional ) If so, what is the co-development facility? ( optional ) Erasmus? Stay ( optional ) yes ( optional ) no ( optional ) If yes, what is the originating establishment? ( optional ) Description of the disorder, illness or disability Name ( optional ) Period of occurrence ( optional ) Birth ( optional ) Childhood ( optional ) Adolescence ( optional ) Date of last revalidation ( optional ) Organization ( optional ) If you have a recognition, please indicate the organization (AViQ, PHARE, Social Affairs, ...) and the contact details of the office you belong to. Description of the difficulties identified in following the chosen course without accommodation Description des difficultés identifiées pour suivre le cursus choisi sans aménagements If you have a pre-existing pathology, describe the adaptations you have already benefited from, including in secondary education. ( optional ) Si la pathologie préexistait, décrivez les adaptations dont vous avez déjà bénéficié, en ce compris dans le secondaire Facilities and type of support required ( optional ) For academic activities (courses, practical work, internships, exams) and campus integration Pour les activités académiques (cours, travaux pratiques, activités de stage, examens) et l'intégration sur le campus External resources that may be mobilized - None -Therapeutic follow-upSpeech therapy follow-upNeuropsychological follow-upMethodological supportPedagogical supportOther External resources that may be mobilized to enable greater autonomy in managing the pathology or disorder ( optional ) Ressources extérieures éventuellement mobilisées permettant une plus grande autonomie dans la gestion de la pathologie ou du trouble Specify ( optional ) Certified true In order to process your request, data not marked "optional" must be completed. When you submit this form, the completed data is transmitted to UNamur and used to follow up on your request. To find out more about your data protection and rights (link to site privacy policy)
