Chicago State University
773.995.2000

Accommodation Request Form

  • I understand that I must be a registered student with the Abilities Office in order to receive accommodations.
  • I understand that it can take up to one (1) week for my accommodation letters to be processed from the date in which the request was received.
  • I understand that accommodations are not retroactive and only move forward in time.
  • I understand that it is my responsibility to inform the Abilities Office immediately when my accommodations are not being met by my instructor(s).
This field is required. This field is required. This field is required. email This field is required and must include "@" This field is required. This field is required. Course Name and Number: (Ex: PHIL 1301; ENG 1302) legend=true; This field is required. This field is required. This field is required. Thanks for submitting your request.<br />It can take up to one (1) week for your accommodation letters to be processed from the date in which the request was received. Something Bad Happened. {{emailaddress}} Abilities@csu.edu Accommodation Request Form Thanks for submitting your request. It can take up to one (1) week for your accommodation letters to be processed from the date in which the request was received. Abilities@csu.edu {{emailaddress}} Accommodation Request Form First Name: {{firstname}} Last Name: {{lastname}} UID Number: {{uidnumber}} Email Address: {{emailaddress}} Cell Phone: {{cellphone}} Home Phone: {{homephone}} Semester/Year: {{semesteryear}} 1.Course Name and Number: {{crn}} 1.Professor: {{professor}} 1.Type: {{type}} 2.Course Name and Number: {{2crn}} 2.Professor: {{2professor}} 2.Type: {{2type}} 3.Course Name and Number: {{3crn}} 3.Professor: {{3professor}} 3.Type: {{3type}} 4.Course Name and Number: {{4crn}} 4.Professor: {{4professor}} 4.Type: {{4type}} 5.Course Name and Number: {{5crn}} 5.Professor: {{5professor}} 5.Type: {{5type}} 6.Course Name and Number: {{6crn}} 6.Professor: {{6professor}} 6.Type: {{6type}} 7.Course Name and Number: {{7crn}} 7.Professor: {{7professor}} 7.Type: {{7type}} 8.Course Name and Number: {{8crn}} 8.Professor: {{8professor}} 8.Type: {{8type}}