Accommodation Request Form

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The Office of Academic AccessAbility arranges academic, residential, and dining services accommodations for qualified students with disabilities. Please note that 每日大赛官网 requires documentation of your disability.

Once the appropriate documentation is received, your request will be reviewed to determine eligibility for the requested accommodations. If you have questions about documentation guidelines, please contact the Office of Academic AccessAbility, 336-272-7102, ext. 5591, or email聽georgieann.bogdan@greensboro.edu. The fax number is 336-271-7217.

Name

This field is for validation purposes and should be left unchanged.

Student Name(Required)

Date(Required)

Student GC Email(Required)

Cell Phone(Required)

Student ID Number(Required)

Type of Accommodation(s) Requested(Required)

Academic

Housing

Dining

Please briefly explain diagnosis and limitations(Required)

Please describe the accomodation(s) you request(Required)

Electronic Signature(Required)

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