New Accommodation Request
NOTE* Requests cannot be made within 2-weeks of the start of any final exam or testing window.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Please select your current status:
*
I am a high school student requesting accommodation
I am a current Howard College student requesting accommodation
Student ID
*
Your School Email
*
example@stu.howardcollege.edu
Campus
*
Big Spring/Lamesa
San Angelo
SouthWest College for the Deaf (SWCD)
For which term are you renewing your accommodations? You must be enrolled in the term to renew.
*
Fall 1 (First 8-week term)
Fall 2 (Second 8-week term)
December Mini-Session
Spring 1 (First 8-week term)
Spring 2 (Second 8-week term)
May Mini-Session
Summer 1
Summer 2
Please Indicate if you are a
Veteran/Active Duty Military Student
Student Athlete
Disability Information
What is the nature of your disability?
*
How does your disability affect you as a student?
*
Potential Accommodations
What accommodations have you used in the past?
*
What accommodations are you requesting?
*
Incoming Freshmen: Are you requesting accommodations for the TSI exam?
Yes
No
Big Spring and SWCD Students: Are you requesting housing accommodations?
Yes
No
If yes, please describe your accommodation request.
Please attach supporting documentation (i.e. physician's letter, 504 paperwork, etc.) for our office to review. Students will only be contacted at their Howard College student email address.
*
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