Student Request for Disability Accommodations

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Demographic Information

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Student Information

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Degree Program:*

Disability Information & Accommodations Requested

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A wide variety of legally mandated services are available for students with documented disabilities. Accommodations are provided based on each student's functional limitations in the academic or housing setting. To assist the Office of Counseling & Disability Services (CDS) in the development of your Learning Support Plan (LSP), please identify from the list below the accommodations that you are requesting. Please note that all accommodations must be directly related to the documented disability.
Learning Environment:














Testing:








Housing: