{"metadata":{"form_id":213,"rand_id":"qLmslrMI4y","form_title":"Disability Rights Unit","form_title_highlighted":"Student Registration Form","form_description_heading":"Welcome to the Disability Rights Unit","form_description":"DEAR STUDENT,\n\nWelcome to the Disability Rights Unit at Wits! As you are about to start your studies we would like to present you with an orientation guide to assist you with the procedures you have to follow at Wits. We will also provide you with additional information about our office and the services we offer. The Disability Rights Unit (DRU) concerns itself with the position of students with disabilities and serves as the central point where students with disabilities can request assistance and report problems.\n\nIn order to make your student life enjoyable and successful, it is important for you to follow the GUIDELINES set out below:\n- Make contact with the DRU.\n- Complete all the relevant documentation from the DRU\n- Attend the DRU orientation session at the beginning of each year\n- Follow the steps explained to you during DRU orientation\n- Make contact with lecturers with the DRU letter of accommodation and/or the letter received from the Faculty granting you extra time\n\nREMEMBER: If applying for any reasonable accommodations (including extra time), you MUST get a renewal letter from the DRU every year!\n\nTo receive support from DRU, you will need to REGISTER with us in 3 simple steps: \n\n1. Visit the INFORMATION link on the top left to read through the DRU Student Agreement as well as find out how to contact us. \n2. Fill out this DRU Student Registration Form by clicking on the blue PROCEED button below, then navigate backwards or forwards through the form using the left and right arrow buttons . \n3. Submit documentation to DRU indicating proof of your disability. \n\nOnce registered, you will have access to DRU's world-class services and support . We wish you all the best and hope that you grow as a person and succeed in your studies at Wits!"},"general_form_information":[{"snippet_id":78,"snippet_title":"Disability Rights Unit ","snippet_title_highlighted":"Contact Information and Location","info_order":1,"info_snippet":"The Disability Rights Unit welcomes all students with disabilities to contact us should you require any assistance or support in your studies. \n\nWe are located at the following locations:\n\nMain Campus: Solomon Mahlangu House (Senate House), First Floor (East Wing) \n Contact: Mr. Alfred Tlou - Tel: (011) 717 9152; E-mail: Alfred.Tlou@wits.ac.za , or Dr. Anlia Pretorius - Tel (011) 717 9151; E-mail: Anlia.Pretorius@wits.ac.za\n\nWits Education Campus: Administration Block, First Floor, Room 104.\n Contact: Ms. Kobela Petja - Tel: (011) 717 9158; E-mail: kobela.petja@wits.ac.za\n\n\n\n"},{"snippet_id":79,"snippet_title":"Disability Rights Unit ","snippet_title_highlighted":"Student Agreement","info_order":2,"info_snippet":"1. CRITERIA\n\nPeople with disabilities are those people who have a long term or recurring physical or mental impairment which substantially limits them and which has a real effect on their capacity to study or influences their performance in the workplace (Employment Equity Act No 55, OF 1998). \n\nThe admission of students with disabilities is subject to the admission requirements of the University.\n\n2. DISABILITY POLICY AT WITS\n\nFor the policy and procedures on disability, please visit our website: http://www.wits.ac.za/disability-rights-unit/\n\n\n3. EXTRA TIME AND OTHER CONCESSIONS\n\nIf you are unsure whether you qualify for extra time or not please contact the Disability Rights Unit in Senate House (East Wing, First Floor).\n\n3.1. PROCEDURE FOR EXTRA TIME AND OTHER CONCESSIONS\n\n- Students should first register with DRU who will provide a referral letter to Campus Health and Wellness Centre (CHWC) with recommendations for further assessment, if required\n- The closing date for applications is 30 April\n- Once a student has been assessed, a letter with extra time recommendations from CHWC will be sent to the Dean of the relevant Faculty for approval\n- The Dean will consider the recommendation for approval\n- The Faculty Registrar will communicate the Dean's decision to the student, course coordinator/s, School Admin Managers, Examinations and Graduation Office , Disability Rights Unit, Campus Health and Wellness Centre , and other relevant Faculty Registrars\n- DRU will then manage the annual renewal and update of each approved student\n- Students who qualify for extra time must produce their letters of permission at every examination\n\n3.2. PROCEDURE FOR CLASSROOM ACCOMMODATIONS\n\n- Students should first register with DRU who will then assess the student in order to identify any appropriate classroom accommodations \n- After being assessed, a letter of accommodation will be provided to the student \n- The student must present the letter of accommodation to each lecturer/instructor in order to discuss the accommodations\n- Any problems with the provision of accommodations by the lecturer/instructor must be brought to the attention of DRU\n- An updated letter of accommodation must be requested from DRU each year\n\n\n4. STUDENT RESPONSIBILITY\n\nYou are responsible for ensuring that the Disability Rights Unit and Faculty are aware of your disability that may require accommodations in the educational process. You are also responsible for requesting accommodations in a timely manner so instructors can plan for those accommodations. \n\nReasonable Accommodations are not intended to alter the fundamental elements of the curriculum or program of study. You should maintain the same responsibility for your education as your peers - including attending lectures and keeping the same academic standards and appropriate behaviour.\n\n\n5. DRU RESPONSIBILITY:\n\nDRU has the right to:\n\n- Request current medical or psycho-educational documentation with regards to applications of reasonable accommodations. \n- Deny a request for accommodations if the documentation demonstrates that the request is not warranted, or if the individual fails to provide appropriate documentation.\n- Refuse an unreasonable accommodation which impose a fundamental alteration to a programme or activity of the University. \n- The DRU will maintain the confidentiality of records and communication, except where permitted by the student and by law. \n- Supply information and notes in accessible formats and use alternative formats where other services are time consuming or not available e.g. Dragon in the place of scribes.\n\n\n6. IMPORTANT DRU FORMS\n\n- DRU Registration Form - Must be completed every year by a student with a disability\n- Referral to Campus Health and Wellness for granting of Extra Time - This letter must be requested from the DRU before applying for any extra time for tests/exams.\n- Letter requesting Reasonable Accommodations from Lecturers - This letter must be requested from the DRU every year and submitted to your lecturer.\n- Request for Accessible Course Material - You must indicate your request for Accessible Course Material on the DRU Registration Form. Thereafter it is your responsibility to provide DRU with the required course material that needs to be converted into an alternative format. If you do not provide DRU with the material well in advance, we will not be liable in providing the accessible material on time!\n- Test and Exam Request Form - Should you qualify to write any tests/exams at the DRU, you must complete a Test/Exam Request Form at least a week before the scheduled test/exam date. DRU will not be held liable for any delays to the starting of any tests/exams should you adhere to the above. \n\n"}],"submission_anonymity":[],"form_landing_page":{"form_landing_page_id":213,"landing_page_title":"Disability Rights Unit","landing_page_title_highlighted":"Thank You","landing_page_text":"Thank you for registering with the Wits Disability Rights Unit!\n\nTo apply or renew any extra time and concessions for tests/exams for the current year, please click the link below to visit the DRU Extra Time and Other Concessions webpage for more information on the process involved. \n\nShould you have any questions, or require any further assistance or support, please feel free to contact DRU at any time. We are here to help you! 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If you do not have any medical document available, or are not sure about your disability/condition, please cancel this online registration and contact DRU for further assessment. Without any medical proof, you will not be able to complete the DRU online registration. \n\n - If applying for Extra Time and/or other Concessions for the FIRST TIME, please upload your medical proof of disability, and complete your DRU registration . With the registration completed, visit the Extra Time and Other Concessions webpage on the DRU website for further information on the application process, /disability-rights-unit/extra-time-and-other-concessions/ \n\n\nRETURNING DRU STUDENTS: \n\nFOR RETURNING DRU STUDENTS WITHOUT EXTRA TIME AND/OR OTHER CONCESSIONS: \n\n- Please complete the DRU registration by uploading your most recent documented medical proof of disability (e.g. letter from your medical practitioner, medical record, etc.), which is necessary in order to be registered with DRU. Without any medical proof, you will not be able to complete the DRU online registration. With the registration completed, visit the Extra Time and Other Concessions webpage on the DRU website for further information on the application process, /disability-rights-unit/extra-time-and-other-concessions/ \n\n\nFOR RETURNING DRU STUDENTS WITH FACULTY APPROVED EXTRA TIME AND OTHER CONCESSIONS GRANTED FOR THE REST OF UNIVERSITY CAREER: \n\n - Please complete the DRU registration by uploading your official Faculty Extra Time / Concessions letter indicating \"Rest of University Career\", which is REQUIRED in order to renew your extra time for the current year. With the registration completed, visit the Extra Time and Other Concessions webpage on the DRU website for further information on the renewal process, /disability-rights-unit/extra-time-and-other-concessions/"},{"element_id":"8a95882059baf29c0159daa45afa001f","element_name":"Heading","element_hr_name":"Heading","element_disp_name":"heading","element_order":2,"question_name":"Heading question","short_name":"heading","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"underline_heading":"yes","heading_text_orientation":"left","heading_text":"UPLOADING INSTRUCTIONS"},{"element_id":"8a95882059baf29c0159daa5505e0020","element_name":"Text","element_hr_name":"Text","element_disp_name":"text","element_order":3,"question_name":"text N/A","short_name":"form text","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"form_text_align":"left","font_style":"normal","text_transform":"none","text_indent":"no","font_weight":"normal","form_text":"Please note the following before uploading your documents: \n\n- You are required to upload one medical document as proof of disability, so please select the one that most clearly indicates your disability (should the need arise, DRU will request additional documents from you)\n\n- If you are renewing your Extra Time for the current year, you are also required to upload the most recent Faculty approved Extra Time letter. \n\n- All uploaded files should not exceed 10 Megabytes in size and can be of any file type (preferably PDF)."},{"element_id":"8a9588205f72a2f40161b34aad12005f","element_name":"Uploader","element_hr_name":"Uploader","element_disp_name":"uploader_m","element_order":4,"question_name":"Upload File/s","short_name":"file upload","hint_text":"","element_alignment":"left","element_clearing":"none","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"Upload File/s","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":false,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"none","used_as_email_input":false,"mutliple_files":true,"allow_delete_files":true,"input_arr_min_length":1,"input_arr_max_length":2,"file_size_limit":10,"file_type_restriction_option":"none","valid_file_extensions":[],"valid_file_extension_categories":[]}]},{"section_id":555,"sectionObjects":[{"element_id":"8a9588204db897380154a4c4265b038e","element_name":"Heading","element_hr_name":"Heading","element_disp_name":"heading","element_order":1,"question_name":"Heading question","short_name":"heading","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"underline_heading":"yes","heading_text_orientation":"left","heading_text":"CONFIDENTIALITY"},{"element_id":"8a9588204db897380154a0b0c114038a","element_name":"Text","element_hr_name":"Text","element_disp_name":"text","element_order":2,"question_name":"text N/A","short_name":"form text","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":95,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"form_text_align":"left","font_style":"normal","text_transform":"none","text_indent":"no","font_weight":"normal","form_text":"All information regarding your disability is confidential and is required by the University, in-so-far as it is practically and financially viable and appropriate, to ensure that the necessary support measures are put in place. Since the information about necessary support may be important to the different Faculties, Schools and Departments, the Disability Rights Unit needs your permission to use any relevant information in order to assist you as best as possible. \n\nPlease indicate that you consent to the below:"},{"element_id":"8a9588204db897380154a4c505b2038f","element_name":"Text","element_hr_name":"Text","element_disp_name":"text","element_order":3,"question_name":"text N/A","short_name":"form text","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"form_text_align":"left","font_style":"normal","text_transform":"none","text_indent":"no","font_weight":"normal","form_text":""},{"element_id":"8a9588204db897380154a4c34a22038d","element_name":"Heading","element_hr_name":"Heading","element_disp_name":"heading","element_order":4,"question_name":"Heading question","short_name":"heading","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":100,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"underline_heading":"yes","heading_text_orientation":"left","heading_text":"DECLARATION OF CONSENT"},{"element_id":"8a9588204db897380154a0b5e480038b","element_name":"Text","element_hr_name":"Text","element_disp_name":"text","element_order":5,"question_name":"text N/A","short_name":"form text","hint_text":"","element_alignment":"left","element_clearing":"both","element_width":95,"element_padding":1,"has_label":true,"element_label_orientation":"left","element_label_text":"","label_text_orientation":"left","element_le_ratio":35,"input_val_mandatory":null,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"","used_as_email_input":false,"form_text_align":"left","font_style":"normal","text_transform":"none","text_indent":"no","font_weight":"normal","form_text":"I consent to the disclosure of my disability for the purposes of receiving concessions AND I hereby declare that all the particulars given are true and correct. I further declare that my registration as a student with the Disability Rights Unit shall be subject to the terms and conditions contained in the DRU Student Agreement which has been made available to me at the time of my registration (available on the Information page)."},{"element_id":"8a9588204db897380154a0b7c081038c","element_name":"CheckBox","element_hr_name":"Check Box","element_disp_name":"checkbox","element_order":6,"question_name":"Consent to Disclose Disability","short_name":"Consent to Disclose Disability","hint_text":"","element_alignment":"left","element_clearing":"none","element_width":100,"element_padding":1,"has_label":false,"element_label_orientation":"left","element_label_text":"I Agree","label_text_orientation":"left","element_le_ratio":0,"input_val_mandatory":true,"input_val_min_length":null,"input_val_max_length":null,"input_val_reg_special":"none","used_as_email_input":false,"checkbox_group_name":"67b024ca-a279-441b-91a8-5c0b19b573ac","option_spacing":"normal","option_padding_left":"0","option_padding_right":"2","option_orientation":"left","options":[{"option_id":"b8be1f87-9b7e-489c-a222-9358aba4ea22","option_label":"I Agree","option_value":"Yes","option_hint":"","option_selected":false}],"input_val_min_options":null,"input_val_max_options":null}]}],"form_build_status":{"form_build_status_id":213,"display_publicly":true,"completed":true,"progress":4,"published":true,"publish_version":22,"display_on_intranet_only":false},"form_security":{"form_security_id":213,"is_secure":false,"restrict_to_one_submission":false,"prepopulate_latest_submission":false,"transient_security_options":["WITS_STUDENTS","SPACE_APPLICANTS"]},"form_section_rendering":{"form_section_rendering_id":213,"render_nav_bar":true,"render_nav_bar_options":"hide","render_intro_page":true,"render_intro_page_options":"hide","render_final_page":true,"render_final_page_options":"hide"},"on_submit_http_export_details":[],"on_submit_email_details":[{"onsubmit_email_details_id":119,"recipients":"&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;#=formInput.8a9588204db8973801549644192a0370=#&nbsp;","sender":"&nbsp;#=noreply@wits.ac.za=#&nbsp;","carbon_copy":"&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;","subject":"Disability Rights Unit - &nbsp;#=Form Name=#&nbsp; - Form Submission","body":"Dear&nbsp;&nbsp;#=formInput.8a95882059baf29c0159d9d92970001a=#&nbsp;&nbsp;#=formInput.8a95882059baf29c0159d9d9803d001b=#&nbsp;<div><br><div>Thank you for registering with the Wits Disability Rights Unit (DRU).<\/div><div><br><\/div><div>To acquire support from DRU in your studies, please send an email to Tish Lumos at: tish.lumos@wits.ac.za and indicate any challenges you are having and the type of support you require.&nbsp;<\/div><div><br><\/div><div>To apply or renew any extra time and concessions for tests/exams for the current year, please visit the Extra Time and Other Concessions webpage for more information, http://www.wits.ac.za/disability-rights-unit/extra-time-and-other-concessions/&nbsp; &nbsp;<\/div><div><br><\/div><div>Should you have any questions, or require any further assistance or support, please feel free to contact us at any time. We are here to help you! Wishing you all the best with your studies!<\/div><div><div><br><\/div><div>Details of your DRU online registration are as follows:<br><br><b>Form Name:<\/b>&nbsp;#=Form Name=#&nbsp;<br><b>Submission Time:<\/b>&nbsp;#=Form Submission Time=#&nbsp;<\/div><div><br><br>Regards,<\/div><div><br>The Disability Rights Unit<\/div><\/div><\/div><div><br><\/div><div>http://www.wits.ac.za/disability-rights-unit<\/div>","submission_attachment_xls":false,"submission_attachment_xlsx":false,"submission_attachment_csv":false,"submission_attachment_json":false,"submission_attachment_xml":false},{"onsubmit_email_details_id":120,"recipients":"&nbsp;#=Space Administrators Email Addresses=#&nbsp;","sender":"&nbsp;#=noreply@wits.ac.za=#&nbsp;","carbon_copy":"&nbsp;&nbsp;","subject":"Disability Rights Unit - Submission for Form:&nbsp;#=Form Name=#&nbsp;","body":"Dear&nbsp;#=Space Administrators Names=#&nbsp;<br><br>A form submission has occurred. Details are as follows:<br><br><b>Form Name:&nbsp;<\/b>&nbsp;#=Form Name=#&nbsp;<br><b>Submission Time:<\/b>&nbsp;&nbsp;#=Form Submission Time=#&nbsp;<br><b>Applicant Student Number:&nbsp;<\/b>&nbsp;#=formInput.8a95882059baf29c0159d9bfac4d0019=#&nbsp;<div><b>Applicant Name:&nbsp;&nbsp;<\/b>#=formInput.8a95882059baf29c0159d9d92970001a=#&nbsp;&nbsp;&nbsp;#=formInput.8a95882059baf29c0159d9d9803d001b=#&nbsp;<div><div><b>Applicant Email Address: &nbsp;<\/b>#=formInput.8a9588204db8973801549644192a0370=#&nbsp;<br><br><br>An excel spreadsheet is attached with the contents of this form submission.<br><br>Regards,<br>Zahrah Forms<\/div><\/div><\/div>","submission_attachment_xls":true,"submission_attachment_xlsx":false,"submission_attachment_csv":false,"submission_attachment_json":false,"submission_attachment_xml":false}]}

/zahrah

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