Office of Disability Services

737-1471

Semester Schedule and Class Accommodation Requests

**(Please note that this schedule cannot be used to make requests for books on tape or brailled materials. This form is only used to advise our office of which professors need to be sent class accommodation notices. Other services for auxiliary aids must be made by specific request to the Disability Services Coordinator. Advance request is needed for the ordering of tapes or books.)

When you preregister or register for classes, it important that you notify this office immediately so that proper documentation may be sent to professors. Please enter the information requested belowand attach a class schedule. All of the information on this form must be completed.

Name: _____________________________________________________

Social Security Number: _____________________________________

Phone Number: _______________________________________

Classes Registered for_________________________________ Semester:

(Enter the Name of the Semester)

____ Check here if you have already been approved for special desk and chair arrangements. Building numbers and rooms for special seating requests must be listed on the back of this form.

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