Accommodation Request

* indicates a required field

Student Information

Please enter your information
Please use format G00000000
Please use format G00000000
Please use your university issued email address
Example: 123-456-7890, personal phone number
Are you a veteran?Required
Service Agencies
Are you a client or receiving services from any State or Federal Agency?

Disability Information

Please check any disability conditions that applyRequired
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Upload Supporting Document(s)

Documentation of a disability must appear on official letterhead from a licensed physician, psychiatrist, social work, or other mental health professional with their License/Certification number & State of licensure and include:

1. A specific statement of the diagnosis / diagnoses.
2. A summary of related functional limitations

Do you have documentation? Required

History of Accommodation and/or Support

Are you requesting housing accommodations?Required
Are you requesting accommodations for study abroad?

Scheduling Information

Please provide three preferred times across three separate days for a meeting with a SAR advisor. Please note that appointments cannot be scheduled on the same day the form is submitted. Our available appointment times are Monday through Thursday, from 9:00 am to 3:30 pm, and Friday, from 9:00 am to 1:30 pm.
We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.
 
We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.
 
We are available for appointments Monday through Thursday from 9:00 am to 3:30 pm and Friday from 9:00 am to 1:30 pm.