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Public Accommodation Request
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Student Information
Please enter your information
First Name
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*
Last Name
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*
Middle Name
Student ID
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*
Email
Required
*
Please use your SPS issued email address. Entering a personal email (like @Gmail or @Yahoo) will result in your not receiving an automatic follow-up email about how to schedule an appointment.
Phone Number
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*
Disability and Accommodation Request Information
How did you hear about the office?
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How does your disability affect you academically?
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*
What accommodations are you requesting?
Required
*
Upload supporting document(s)
Use this for records like psychologist reports, Individualized Education Plan (IEP), Accommodation plans from previous institutions, hospital discharge papers, or letters from doctors and clinicians.
Disclaimer
Please note that after submitting this form, you will receive a message sent your *SPS Student Email explaining the next step -> scheduling an initial meeting.
Document Information
Document Title
File
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Maximum file size: 10240kb
Description