Accommodation Request

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Student Information

While you may have concerns about returning to campus due to the global health pandemic know that the University is working diligently to plan and have broad scale measures in place, including but not limited to testing, symptom checking, contact tracing (when necessary) physical distancing, face covering guidelines and enhanced cleaning /disinfecting procedures.  If you have specific concerns because of your own circumstances, please let us know by completing the form below. 

Please complete any information relevant to your request.

Please use your university issued email address
Are you requesting alternate learning arrangements unrelated to a disability?(Required) *

Specific Accommodation Information

Functional Limitations - Academic

Functional Limitations - Physical

Please indicate the level of impact on applicable major life activities due to the diagnosis(es).

Documentation and Submission