Public Accommodation Request

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Student Information

Please enter your information
This is the W# issued to each student by the university. If you do not yet have one, leave this item blank.

Please use your Wildcat Mail address (e.g., Disability related materials can only be emailed to addresses issued by the university.

This may be a mobile number or landline, whichever is best for contacting you.

Accommodation Request

Instructions: Below, you will find a list of disabilities commonly recognized in the United States. The accommodation needs related to any given disability can vary significantly from student to student. Any information you can provide will clarify your specific needs and help to expedite the accommodation process.

If you are uncertain or unclear on this question, please enter your "best guess". You can indicate more than one disability if necessary.
If your selection(s) above included "Specify", please identify the specific condition/disability.
Examples: Easily distracted when taking exams; Cannot read standard print textbooks; Writing assignments are difficult.
Upload supporting document(s)
Please share information about your disability

This could be any form of documentation provided by your diagnostician or previous school.

It's not required but would be helpful and better when making contact with your advisor.