INSTRUCTIONS FOR COMPLETING ACCOMMODATIONS REQUEST FORM
NOTE: This for is for Returning students only. New students must register with OSSD (see contact information below) Incomplete forms will NOT processed.
1-9. Enter all of the information requested in this section
Line 7 - Use your USM ID number, not your Social Security Number.
10-15. List ALL of the courses that you are taking for the desired semester.
List all courses whether or not you require accommodations for all of those classes.
10. Write the class number for the course (this is usually a 4 or 5 digit number)
11. Write the catalogue number. (I.E., HTY 131L)
12. Write the course title. (I.E., U.S. History to 1877)
13. Write the amount of credit hours for the course. (I.E., .5,1, 2, 3, 4)
Write the days and time the course meets. (I.E., M/W 8:30-10:15am)
14. Write the Building and room number where the course meets: (I.E., Luther Bonney 326)
Write the last name of the professor.
15. Write the accommodations you are currently requesting for each course, on the same line as the course information.
- If you are not requesting accommodations for a particular class write the word NONE.
- If you are requesting accommodations that have not been approved in the past, schedule a phone or office appointment with either Joyce Branaman or Bill Ferreira to discuss your request. Tel. 780-4706; TTY 780-4395
16. Sign the form beneath the waiver statement.
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