Student Accommodation Request

* indicates a required field

Student Information

Please enter your information

Please enter your SNumber with no dashes or spaces between characters.

If you haven't chosen a major, please type "Undeclared."
Date of BirthRequired
Please use your university issued email address
Student Status

Class LevelRequired

Referral Source

Are you working with a VR or VA counselor?

Specific Accommodation Information


What type of accommodation are you requesting?Required

Emergency Contact Information

Upload supporting document(s)

Please click here for our documentation criteria.

If you you have any documentation with the last 3 years, please upload that, as it may suffice rather than having to complete all the requirements noted in the documentation criteria.

NOTE: We highly recommend uploading your documentation here through our secure portal. Submitting documentation at a later date can sometimes prolong the accommodation request process. Please let us know if you have any questions or concerns by emailing