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Housing Accommodations Request

Students with disabilities or medical conditions that require accommodations must complete this form. This form must be completed and submitted to the Disability Support Services Office each academic year if you plan to live on campus. You will be notified in advance if more current documentation is needed each subsequent year a housing accommodation is requested. In addition, the college, acting in good faith, reserves the right to request updated documentation at any time.

Services may include

If you would rather print out a copy of the form and hand it in to the Office of Disability Support Services on the first floor of the Jenkins Education Complex, you may find a PDF copy here (PDF).

Fields marked with an asterisk (*) are required.

Student Information

Request Information

I am requesting (check all that apply):*


Air-conditioned rooms and single rooms are limited and are on a first come, first served basis. An additional fee may be assessed for air-conditioned rooms and single rooms.

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