Cheyney University Accessibility Barrier Reporting Form

Cheyney University is committed to ensuring equal access to all university programs, services, and facilities. If you encounter any accessibility barriers, please report them using this form. We will address reported issues promptly to improve accessibility for all

Contact Information

Name

First Last

Phone

Barrier Details

Location of Barrier

Time

Date

Type of Barrier

Description of the Barrier

Impact on Your Activities

Upload image

Accepted file types: jpg, jpeg, png, gif.

Follow-Up Preference

Phone

No follow-up needed

Best time to follow up

Consent

I agree to the privacy policy.

I consent to the collection and use of the information provided in this form for the purpose of addressing the reported accessibility barrier.

Physical Barrier (e.g., inoperative elevator, blocked access ramp)
Digital Barrier (e.g., inaccessible website content, non-captioned video)
Programmatic Barrier (e.g., lack of sign language interpreter at an event)
Other