STUDENT ACCOMMODATION REQUEST FORM
This form is an official request for accommodation services for the identified academic term. Accommodations are provided to registered Student Accessibility Services Office (SASO) students and must be on file with SASO.
Requestor Information
Name
*
First
M.I.
Last
T-Number
*
Phone
*
TSU Email Address
*
Academic Major
*
Academic Minor
Last semester you received accommodations?
Semester
Year
Unsure
Non-Applicable
Are you graduating this semester?
Yes
No
Do you require an interpreter?
Yes
No
Do you require CART services?
Yes
No
Semester you are requesting Accommodations:
*
Fall
Spring
Summer I
Summer II
Winter
Mini-Mester
Year
*
Current Classification
*
Freshman
Sophomore
Junior
Senior
Graduate - Master
Graduate - Doctorate
Transfer
Professional
Please indicate which classes you are requesting accommodations* Click the (+) sign to add rows
*
Course (PSY 130)
Section (01)
Instructor (Smith)
Please upload your Detailed Class Schedule for the requested semester.
*
Accepted file types: pdf, doc, docx, xsl, xslx
Accepted file types: pdf, doc, docx, xsl, xslx.
Important Notice
I understand accommodation requests are subject to approval and generation of letters may take up to 15 business days depending upon receipt of this form and the official detailed class schedule.
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.