Initial Accommodation Request

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Student Information

Welcome to Student Accessibility Services! Please enter your information.

First Name

Last Name

Middle Name

Preferred Name

Emerson ID

Please use your university issued email address

Phone Number

Pronouns

Are you a transfer student?

Academic Standing

Specific Accommodation Information

How would you describe your disability? (diagnosis and symptoms)

When and how did you receive this diagnosis?

Do you take medication? If so, please list the medication and describe any side effects.

What accommodation(s) have you received in the past?

What accommodation(s) are you requesting?

Upload supporting document(s)

You may upload documentation of disability if it is ready to submit. If you have already provided documentation to SAS then you may skip this step.

Note: To determine eligibility for accommodations, Emerson College requires current and comprehensive written documentation of your disability from a licensed clinical professional or health care provider familiar with the history and significance of the functional limitations of your condition(s) on a major life activity. The professional must not be a relative or friend of yours or your family. Student Accessibility Services requires an interview with students requesting accommodations and written documentation before requests for services or accommodations are considered.

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Initial Accommodation Request

Student Information

Specific Accommodation Information

Document Information