Book an Access Champion
Please fill out this form to request support on Queen's campus.

We provide services that foster accessibility and usability at Queen’s University. We are a student-volunteer run organization with busy schedules, so please try to give us as much lead-time as possible so we can ensure your needs are met.

We respect the dignity of all people, and work to support equal access to spaces and activities by helping to provide solutions to barriers, one person at a time.

First name
Your answer
Last name
Your answer
Email
Your answer
Cell phone number (optional)
In case of emergency
Your answer
When would you like to meet?
Please indicate date and time
Your answer
Anything additional you would like us to know?
This information will be confidential to our volunteer team. It may include needs, preferences, or anything that will make this experience more enjoyable for you. Often the more information you provide, the more we can help. For example: What is your purpose on campus? What do you see being helpful?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.