Initial Accommodation Request

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Student Information

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Pronouns



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Please use your university issued email address
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Specific Accommodation Information

Have you received accommodations from Lock Haven University in the past?(Required) *
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Check the areas affected by your current disability(Required) *













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Academic History

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Did you have an IEP, 504 Plan or some other school-based support?(Required) *
Please upload documentation of disability from an appropriate professional, or forward separately to ODSS. This could include a Psychological Evaluation, Psycho-educational Evaluation, Re-Evaluation Report, or other documentation. Please refer to ODSS Handbook at http://www.lockhaven.edu/adac/disabilityservices/ for more information about documentation requirements.