Student Services
 
 
Special Services: Requests
 

Request an Intake Packet

In order to receive special accommodations, such as extended time on tests and note takers for college level classes, a student needs to be registered with the Department of Special Services. Intake forms must be completed and proper documentation must be provided specifying a disability. 

To receive an intake packet in the mail, please fill out the form below.

NAME
ADDRESS
 
CITY
STATE
ZIP CODE
PHONE NUMBER
What is the sum of 2 + 3?
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I plan to start classes the following semester: