Disability Access Feedback and Concerns Reporting Form

West Virginia State University strives to maintain an accessible and welcoming environment for individuals with disabilities. Your feedback is critical to helping the university achieve its goal of seamless access.

If you have comments, concerns, or complaints about your experience with any of the university's employees, services, programs, or facilities, please inform our ADA Coordinator/504 Compliance Officer by completing and submitting the form below.

You will receive an initial response within five business days.

If your concern is time sensitive, you have difficulty with the form, or simply prefer to contact the ADA Coordinator/504 Compliance Officer directly - email - ada@wvstateu.edu or phone/text 304-552-5868.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your relationship to the university?

What does the issue involve (check all that apply)?

Please provide a description of your experience, including facilitators to access, barriers to access, or disability related discrimination that you experienced or observed. If possible include specific dates, locations, names and offices.

Please describe any contacts made with West Virginia State University representatives regarding this issue.

Please describe any solutions that you feel would ensure and improve access.

In submitting this form I am -

Reporting a disability related concernFiling a formal disability discrimination grievance