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Accommodation Request Form – Morton College Office of Student Accommodations

Accommodation
Request Form

Office of Student Accommodations

Morton College Student Accommodations
One Stop Center
708-656-8000, Ext. 2433
disabilityservices@morton.edu
As it appears on your student record
Date of Birth
In the event of an emergency do you want this person to be contacted?
In the event of an emergency evacuation, do you require assistance?
If yes, please indicate mobility aid(s) used:
My diagnosed disability(ies) best fall into the following categories (check all that apply)
Describe challenges you experience in classroom settings, reading, writing, testing, etc.
Did you receive Special Education Services in High School? (IEP or 504 plan)
Please check all that apply:
Have you attended any other college or university?
If yes, did you receive accommodations?
Do you wish to authorize anyone other than yourself to be part of our accommodation meetings and communication?
Important: Please note that the authorized person cannot make decisions on your behalf. This authorization allows the listed person(s) to join your accommodation meetings and be included in certain email communication. You may decline their presence at any time.
Type your full legal name as your electronic signature

After submitting, you will be contacted by the Office of Student Accommodations to schedule your intake appointment.