Public Accommodation Request

* indicates a required field

Student Information

Please enter your information below.
Note: Accommodation requests for the Fall semester for incoming students will be accepted starting in March.

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Date of Birth(Required) *
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Please use your university issued email address
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[select]
Transfer Student(Required) *
International Student(Required) *
US Veteran(Required) *
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Check appropriate category below.
[select]

What type of accommodation are you requesting?

Have you received accommodations from OASIS or the ESU Office of Disability Services in past semesters?(Required) *
I am requesting Academic Accommodations.(Required) *

The specific type of academic accommodation(s) you are requesting will be addressed below.

I am requesting Housing Accommodations(Required) *

The specific type of housing accommodation(s) you are requesting will be addressed below.

I am requesting Temporary Accommodations.(Required) *

The specific type of temporary accommodation(s) you are requesting will be addressed below.

Documentation