Skip to content
Skip to main menu
Skip to secondary menu
Accommodation Request Form
*
indicates a required field
Student Information
Please enter your information
First Name
Required
*
Last Name
Required
*
Middle Name
Student ID
Required
*
Email
Required
*
Please use your university issued email address
Phone Number
Accessibility Specific Information
Have you received academic accommodations at a school or university prior to joining AUC?
Have you received academic accommodations at a school or university prior to joining AUC?
Yes
Have you received academic accommodations at a school or university prior to joining AUC?
No
My diagnosed disability falls into the following category
Required
*
How does your disability affect you academically?
Required
*
How does your disability affect student life in general, like taking tests and studying?
Upload supporting document(s)
Drop files here to upload
Upload File