* indicates a required field
Please enter your information
Disability & Access Services (DAS) arranges academic accommodations for qualified students with disabilities. Such accommodations may include use of a laptop for notes, a smart pen, laboratory assistance, course materials in alternative formats, reduced course load, or possibly examination-related accommodations such as extended time or a distraction-reduced environment. Students seeking accommodations will need to fill out this form and schedule an intake appointment to meet with one of the DAS staff members.
PLEASE NOTE: The process can take up to three (3) weeks once all documentation has been submitted.
If you have preferred pronouns other than those listed above, please indicate them here.
Please include all 9 characters including the "U", without dashes
Please use your university issued email address ONLY. firstname.lastname@example.org
In which courses are you usually most successful? Which give you more difficulty?
(i.e. Reading, paper writing, organization, note-taking)
(Ex. Educational Resource Center, Behavioral Medicine, CARD, SARP, Career Development Center)
Academic Accommodations Requested
Please describe how each accommodation relates to your disability