Accommodation Request Form

* indicates a required field

Student Information

CURRENT CMU STUDENTS: Please enter your information below.  Students should be the one to complete this entire form, not their representative. 

At the end of this form, you will be asked to provide documentation of your disability.  It is helpful to have this documentation ready prior to beginning this form.

NOTE: This form times out after one hour.  Please be sure to submit the form within one hour to avoid losing the info you have entered.

Please use your university issued email address
Date of BirthRequired
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Health and Accommodation Information

ex: Learning Disorder, ADHD, Epilepsy, Arthritis, Major Depressive Disorder, etc.
year, age, or grade
Please include whether you had accommodations in HS, other colleges, etc. and what those accommodations were.
Did you receive any accommodations on a standardized test, such as ACT/SAT/LSAT/GMAT?

For a list of commonly requested accommodations, please visit our website.

Are you requesting housing-related accommodations? Required

Impact

Describe how your disability impacts you in these areas if any.

Including: reading, writing, math, spelling, listening, and note taking.

Including: organization, time management, memory, concentration, and managing distractions.
Including: managing stress, frustration tolerance, and social interaction.
Including: walking, talking, hearing, seeing, sleeping, and writing quickly.

Free Response

Please include anything about yourself not covered here or in the documentation you submit.

Consent to Release & Documentation

SDS staff may find it helpful to consult with others about your disability and request for accommodations. To grant permission, check “Yes” and list the names of the individual(s) in the field.
Parent(s)/Legal Guardian(s)
Diagnostician who diagnosed the disability
Other medical professionals
Consent for Services Required
Your confidentiality is important to us. Please be advised that FERPA does allow us to share information within CMU with other employees who have a legitimate educational interest in the information. For example, if you are requesting a housing accommodation, we will be in communication with Residence Life.
Upload supporting document(s)

If you do not have your documentation ready to submit now, you will need to email it to SDS@cmich.edu once you have it.

Include all medical and psychological documentation, school records (high school or other college accommodation plans), or reports. Failure to submit all available records may delay your request. Review our documentation guidelines for more details.