Accommodation Request

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Student Information

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Please use your university issued email address
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Student-identified campus(Required) *







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Specific Accommodation Information

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Duration(Required) *


Do you have another condition to report?(Required) *
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Please describe accommodations you have had in the past, or areas in which you currently need assistance.

Students who are seeking accommodation support services from the Disability Services Office are required to produce documentation that verifies the eligibility of the student under the Americans With Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973. Documentation serves as a foundation that legitimizes the student’s request for accommodations that are appropriate and reasonable. The documentation presented must describe the nature of the disability and its impact on learning.

To learn more about documentation, please follow this link.

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