Physical Accommodation

* Classroom Setup Request Form.
Use this form to request desk and chair setup in the classrooms.

* General Physical Accommodation Request Form.
Use the form below if you have any specific concern or request regarding physical accommodation.

DISABILITY SERVICES

PHYSICAL ACCOMMODATION REQUEST FORMS

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

*Classroom Physical Accommodation Request Form.
  Use this form to request physical accommodation setup in the classroom.

Please complete this form if you have any specific concern or request regarding physical accommodations. Upon receipt of the form below, the Physical Accommodation Specialist will contact you.  For urgent requests, please call Disability Services at 870-972-3964.

(*) denotes required information.

* Date:
* Student Name:
* Student ID:
* PhoneNumber:
* E-mail

Request (check all that apply):
Architectural Barrier Support Services Advocacy
Other (specify):