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Information about students with special needs
Dear student, You have answered positively to the question related to the special needs. In order to welcome you in the best possible conditions, could you please answer the following questions?
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* Indicates required question
Email
*
Your email
Name and first name
*
Your answer
What kind of illness or handicap do you suffer from? Please tick the required answer(s).
*
sensory problem linked to hearing
sensory problem linked to vision
motor disability with autonomy
motor disability without autonomy
Do you have an invalidating desease? If yes, which type?
*
Your answer
Do you have a mental desease? If yes, which type?
*
Your answer
Do you have a learning disability? If yes, which type?
*
Your answer
Do you need a regular medical follow-up? If yes, which one?
*
Your answer
Do you have a medical file to hand over to us?
*
Yes
No
Other:
Required
Do you benefit from special arrangement in your current curriculum? If yes, which one?
*
Your answer
Are you equipped with portable special equipment?
*
Yes
No
Required
Do you need specific care during your stay? If yes, which one?
*
Your answer
Would you like to relay us some information about your future stay?
*
Your answer
I hereby authorize the Haute Ecole Albert Jacquard to take all necessary urgent measures (urgent treatment, contact with emergency services) in case of necessity. Please tick the below box.
Check this box if you agree.
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