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Accommodations request form for RETURNING students

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If you have been determined eligible by Disability Services staff for exam accommodation(s) and/or class notes access, please complete the form below for each course needing accommodations.

If you prefer to schedule an appointment to request your accommodations, or if you have any other questions regarding accommodations, please contact Disability Services by phone: (701)231-8463 e-mail: ndsu.disability.services@ndsu.edu or our office: Wallman Wellness Center 170.

You will receive an e-mail when forms are ready. Forms can be picked up 1-2 business days after submission from the Disability Services Office.

Student Information:

*
* Last Name
*
* Phone Number
* E-mail Address
* Semester for Request

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
*
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
* Course Type
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
* Course Type
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
* Course Type
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
* Course Type
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.

Course Information:

* (example: Chem)
* (example: 121 or 121L)
(example: 5580)
* Course Type
*
*Note Taker Needed:
*Exam Accommodations Needed?
* If Exam Accommodations Needed, Please list:
*How Many Credits is THIS course?
*If new accommodations are being requested, please call (701) 231-8463 to schedule an appointment.


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North Dakota State University
Phone
: +1(701) 231-8463 / ND Relay: (800) 366-6888 / Fax: (701) 231-5205
Campus Address: Wallman Wellness Center 170
Physical/delivery address: 1707 Centennial Blvd, Fargo, ND 58102
Mailing Address: NDSU Dept. 5160 / P.O. Box 6050 / Fargo, ND 58108-6050
Page Manager: ndsu.disability.services@ndsu.edu


Last Updated: Thursday, December 19, 2013 8:44:40 AM