Public Accommodation Request

* indicates a required field

Student Information

Please bear with us as we transition to our new system. In order to be embedded, you must complete the form below.
Are you a student who needs to book a Testing Center appointment without registering with Disability Services?(Required) *
NOTE: If you are requesting Accommodations and want to register with the Disability Services office, select "No" for this question.
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You must use your university issued email address
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Specific Accommodation Information

Functional Limitation

Please select the extent to which you believe your diagnosed condition affects the following major life activities.