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REPORT ACCESSIBILITY BARRIER

We value the input of our school community in identifying the barriers that impact the participation of individuals in the life of our school. Your feedback will greatly assist us in the development of our Accessibility Plan. Complete the following form to report a barrier.

Which group(s) do you most identify with? (check all that apply) *

Individual with an accessibility need

Student with an accessibility need

Caregiver for an individual with an accessibility need

Service provider outside of school

Staff member

Other (please specify) Other (please specify)

What gets in the way at school? (check all that apply) *

Physical access (stairs, doorways, etc.)

Vision (dark stairwells, curbs you can't see well, etc.)

Hearing (difficulty hearing the teacher or announcements, etc.)

Sensory (sensitivities to noises, movement, touch, lighting, etc.)

Overall environment (busy hallways, etc.)

Mental health (anxiety, depression, test taking, public speaking, etc.)

Other (please specify) Other (please specify)

Please explain why the factors mentioned above post obstacles. *

What measures do you believe would improve the situation?

What are some supports that you find helpful at school?

Is there anything else you would like the school to be aware of?

If you wish to provide information through video, voice recording, or a document file, please attach the file here.

Please choose one: *

I wish to remain anonymous

Name and contact information below

I wish to be contacted by the school about this report *

Yes

First name (optional)

Last name (optional)

Email address (optional)

Phone number (optional)

Thank you for taking the time to provide us with your valuable input. Your contribution is greatly appreciated!