{"id":14,"date":"2024-08-29T19:59:08","date_gmt":"2024-08-29T19:59:08","guid":{"rendered":"https:\/\/forms.charleston.edu\/equal-opportunity-programs\/?page_id=14"},"modified":"2026-04-02T16:32:28","modified_gmt":"2026-04-02T16:32:28","slug":"barrier-notification-form","status":"publish","type":"page","link":"https:\/\/forms.charleston.edu\/equal-opportunity-programs\/barrier-notification-form\/","title":{"rendered":"Barrier Notification Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Barrier Notification Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/equal-opportunity-programs\/wp-json\/wp\/v2\/pages\/14' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_6_37\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_37'>Name<\/label><div class='gfield_description' id='gfield_description_6_37'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_37' id='input_6_37' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_6_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Report an Access Barrier<\/h3><div class='gsection_description' id='gfield_description_6_26'>The College of Charleston is committed to providing equal opportunity for full participation in all programs, services, and activities. In support of this commitment we strive to ensure our campus experiences and facilities, including buildings, parking areas, events, classroom experiences, and policies are accessible and free from disability-related barriers.\n\nIf you encounter a barrier to accessibility, please complete this form so that we may do our best to reasonably resolve the issue. <\/div><\/div><fieldset id=\"field_6_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_1'>\n                            \n                            <span id='input_6_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_6_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                    <label for='input_6_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_6_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                    <label for='input_6_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_6_4' type='tel' value='' class='large'    aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_6_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-five-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_6_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><fieldset id=\"field_6_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I am a:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_35'>\n\t\t\t<div class='gchoice gchoice_6_35_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Student'  id='choice_6_35_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_35_0' id='label_6_35_0' class='gform-field-label gform-field-label--type-inline'>Student<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_35_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Staff or Faculty'  id='choice_6_35_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_35_1' id='label_6_35_1' class='gform-field-label gform-field-label--type-inline'>Staff or Faculty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_35_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='Visitor'  id='choice_6_35_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_35_2' id='label_6_35_2' class='gform-field-label gform-field-label--type-inline'>Visitor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_35_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_35' type='radio' value='gf_other_choice'  id='choice_6_35_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_35_3' id='label_6_35_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_6_35_other' class='gchoice_other_control' name='input_35_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Information about the Barrier<\/h3><\/div><fieldset id=\"field_6_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you reporting a barrier to physical or digital access?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_36'>\n\t\t\t<div class='gchoice gchoice_6_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Physical Access'  id='choice_6_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_36_0' id='label_6_36_0' class='gform-field-label gform-field-label--type-inline'>Physical Access<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Digital Access'  id='choice_6_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_36_1' id='label_6_36_1' class='gform-field-label gform-field-label--type-inline'>Digital Access<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What general disability group is the barrier related to?<\/legend><div class='gfield_description' id='gfield_description_6_33'>Select one or more of the following choices:<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_33'><div class='gchoice gchoice_6_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Sight Limitation'  id='choice_6_33_1'   aria-describedby=\"gfield_description_6_33\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_1' id='label_6_33_1' class='gform-field-label gform-field-label--type-inline'>Sight Limitation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='Hearing Limitation'  id='choice_6_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_2' id='label_6_33_2' class='gform-field-label gform-field-label--type-inline'>Hearing Limitation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='Mobility - Wheelchair Accessibility'  id='choice_6_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_3' id='label_6_33_3' class='gform-field-label gform-field-label--type-inline'>Mobility - Wheelchair Accessibility<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_33_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.4' type='checkbox'  value='Mobility - other than Wheelchair Accessibility'  id='choice_6_33_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_4' id='label_6_33_4' class='gform-field-label gform-field-label--type-inline'>Mobility - other than Wheelchair Accessibility<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_33_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.5' type='checkbox'  value='Other'  id='choice_6_33_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_33_5' id='label_6_33_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_34'>If other, please list:<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_6_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >The barrier is impacting access to:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_32'><div class='gchoice gchoice_6_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='A class, program, or activity'  id='choice_6_32_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_1' id='label_6_32_1' class='gform-field-label gform-field-label--type-inline'>A class, program, or activity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='A campus service'  id='choice_6_32_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_2' id='label_6_32_2' class='gform-field-label gform-field-label--type-inline'>A campus service<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_32_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.3' type='checkbox'  value='A physical area or facility'  id='choice_6_32_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_3' id='label_6_32_3' class='gform-field-label gform-field-label--type-inline'>A physical area or facility<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_32_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.4' type='checkbox'  value='A special event'  id='choice_6_32_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_32_4' id='label_6_32_4' class='gform-field-label gform-field-label--type-inline'>A special event<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does the barrier seem to be fixed or movable?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_29'>\n\t\t\t<div class='gchoice gchoice_6_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Fixed'  id='choice_6_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_29_0' id='label_6_29_0' class='gform-field-label gform-field-label--type-inline'>Fixed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Movable'  id='choice_6_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_29_1' id='label_6_29_1' class='gform-field-label gform-field-label--type-inline'>Movable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'>Please describe the location of the barrier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_31'>Give as much detail as possible, including building, floor, room number, etc.\nIf the barrier is to digital accessibility, please provide the link and\/or a detailed description of how you encountered the issue.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_6_31' class='textarea large'  aria-describedby=\"gfield_description_6_31\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>Please describe the barrier in detail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div 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