* indicates a required field
Student Requesting Accommodation
Please use your university issued email address
In unknown, write N/A.
If not applicable, skip question.
What accommodations are you requesting?
Please select the accommodation you are requesting, click done, and then click request additional accommodations if you'd like to add a second accommodation. Repeat this process until you've finished.
Please indicate which campus facility you plan to live in and provide additional information regarding your request. *ESA Request-please describe the animal you are requesting be your ESA animal*
Upload supporting document(s)
Please review our Helpful Documentation Guidelines for examples of types of documentation that can be submitted for review.
*Disclaimer prior to submitting request located at the bottom of the form:
I am voluntarily self-identifying as a person with a disability and I am submitting this form to begin the interactive process per the ADA/ADAAA. I understand that accommodations are not provided until approved. I understand that all of the requested accommodations may not be reasonable, and therefore may not be approved. I understand that I should discuss the accommodations with the faculty member who will provide them.