Classroom Setup Request

Use the form below to request desk and chair setup for classrooms.

DISABILITY SERVICES

PHYSICAL ACCOMMODATION REQUEST FORMS

*In order to receive accommodations, students must register with Disability Services and present appropriate documentation.

 

(*) denotes required information.

Date:
Student Name:
Phone:
ID Number:
E-mail:
Location 1:
Location 2:
Location 3:
Location 4:
Location 5:


Type of desk and/or chair requested (place checkmark(s) on the options below):
Heavy padded chair without arms
Secretary chair
Office chair
Chair with arms
Medium padded chair with arms
Padded high back non-contoured chair
Footrest - 3" high
Left-handed desk
Adjustable table - 21.5" to 29.5"
Regular table - 30"
X-tall table - 35"
Folding table - 6' *check with Disability Services
Other: