Application to set a one on one meeting at the Accessibility & Study

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Application to set a one on one meeting at the Accessibility & Study
Skills Center
Please read the following form and fill out as specified:
Target audience: Students who are acknowledged by the Dean of Students Affairs as students
with Learning Issues and or Attention Deficit Disorders, students with physical, sensory or
cognitive disabilities, as well as students with a temporary/permanent medical condition which
has implications on the student's learning abilities.
Length of meeting – 50 minutes
What will be taught? A one on one meeting for acquiring academic learning skills: tools and
techniques for efficient studying, and for dealing with difficulties that accompany the student
with learning issues. The emphasis is on practice and implementation making this an individually
adapted process.
Learning process and number of meetings: The number of meetings in the center is set
individually and depends on the work process and cooperation of the teacher and the student.
When the teachers at the center are overbooked, priority will be given to, first year students or
students who have not yet had meetings at the center. The number of meetings required is a
professional decision and will be decided by the professional staff of the Center.
Fee: The service is provided for a nominal fee.
Student: 50 NIS per personal meeting.
Student receiving a socio-economic scholarship: 20 NIS per me eting.
The total payments collected for this service go back, into expanding and improving the
Accessibility & Study Skills Center!
Payment process: students must pay before each meeting and save the receipt!
1. Via credit card through the Center’s website www.idc.ac.il/eng/ssc
2. Cash/ Credit card at the financial department next to the tuition fee department –
through Ms. Alice Mazkeret/ Ms. Sigal Israeli.
Debts for Center services – procedure
A student who owes the Center money for any of its services cannot enjoy any other service of
the Center until the debt is settled.
IDC Herzliya -The Lea & Naftali Ben-Yehuda Accessibility and Study Skills Center
P.o.b 167 Hetzliya, 46150 │ www.idc.ac.il/ssc │ Tel: 09-9602738 │ negishut@idc.ac.il
If a student does not settle his or her debt, the debt will be added to his owed tuition fees,
according to the Dean of Students Affairs decision.
Commitment: registration for a one on one meeting constitutes a commitment to attend the
meeting. The hours dedicated to the Accessibility & Study Skills Center are few and as such
each hour matters!
Canceling a meeting: If a student cannot attend the one on one meeting already set, the student
must notify in writing via email to negishut@idc.ac.il and the teacher (with whom the meeting
was set), no later than 48 hours prior to the meeting. If the cancellation notification is not
received in time, the student will be charged for the meeting.
Note: A student that misses more than one meeting without notification will not be able to continue using
the services of the Center until there is a clarification with the head of the Center.
Location: the Center is located in the Faculty Offices 12, in the tzimers between Ivcher
Auditorium and the Career Center.
Number 4 on the IDC campus map
Additional information on the activities and the services the Center provides
is on our website www.idc.ac.il/ssc‫אנגלית‬
Contact us
Daphne Ingram – Administrative coordinator, the Lea and Naftali Ben-Yehuda Accessibility &
Study Skills Center
Phone: 09-9602738, email: daphne.ingram@idc.ac.il
negishut@idc.ac.il
The office is located next to the the career center – building 3 on the campus map
For the one on one meeting application form see the
following page
Please fill it out and send it to Ms. Daphne Ingram:
daphne.ingram@idc.ac.il
IDC Herzliya -The Lea & Naftali Ben-Yehuda Accessibility and Study Skills Center
P.o.b 167 Hetzliya, 46150 │ www.idc.ac.il/ssc │ Tel: 09-9602738 │ negishut@idc.ac.il
Application for a one on one meeting at the Accessibility & Study
Skills Center
1. I am acknowledged by the Dean of Students Affairs, as a student with Learning Issues
and or Attention Deficit Disorders, students with physical, sensory or cognitive
disabilities, as well as students with a temporary/permanent medical condition which has
implications on the student's learning abilities.
2. I agree that, if necessary, the staff of the Accessibility and Study Skills Center will read
my medical diagnosis that I submitted to the Dean of Students Affairs.
3. I am aware that each meeting is 50 minutes long.
4. I am aware that I must pay in advance for each one on one meeting and save the receipt.
Payment:
 Via credit card through the Center’s website www.idc.ac.il/eng/ssc
 Via cash/ credit card at the financial department next to the tuition fee department –
through Ms. Alice Mazkeret/ Ms. Sigal Israeli.
5. My preferred date & time for weekly one on one meeting: (please state all the options
which are possible for your one on one weekly meetings):
Days: Sunday, Monday, Tuesday, Wednesday, Thursday
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. I am entitled to a scholarship (based on socio-economic background) as a student at IDC
during this school year (specify which scholarship):
_____________________________________________________________________
_____________________________________________________________________
7. I am aware that by sending this email I am committed to attend the time set for me.
8. Cancellation: I am aware that if I cannot make a one on one meeting already set for me, I
must notify in writing via email to negishut@idc.ac.il and the teacher (with whom the
meeting was set), no later than 48 hours prior to the meeting. If the cancellation
notification is not received in time, I will be required to pay for the meeting.
Note: A student that misses more than one meeting without notification will not be able
to continue using the services of the Center until there is a clarification with the head of
the Center.
Debts for Center services – procedure
IDC Herzliya -The Lea & Naftali Ben-Yehuda Accessibility and Study Skills Center
P.o.b 167 Hetzliya, 46150 │ www.idc.ac.il/ssc │ Tel: 09-9602738 │ negishut@idc.ac.il
A student who owes the Center money for any of its services cannot enjoy any other
service of the Center until the debt is settled.
If a student does not settle his or her debt, the debt will be added to his owed tuition fees,
according to the Dean of Students Affairs decision..
I have read and I hereby agree to all that is written in this form:
Full name: _______________________________________
ID number : _______________________________
School: __________________________________________
Year of study: _________________________________________________
Mobile phone number: _________________________________________
Email: _______________________________________________________
Please fill out and send to Daphne Ingram:
daphne.ingram@idc.ac.il
IDC Herzliya -The Lea & Naftali Ben-Yehuda Accessibility and Study Skills Center
P.o.b 167 Hetzliya, 46150 │ www.idc.ac.il/ssc │ Tel: 09-9602738 │ negishut@idc.ac.il
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