Skip to content
Skip to main menu
Skip to secondary menu
Confidential Accommodation Request
*
indicates a required field
First Name
Required
*
Last Name
Required
*
Middle Name
CUNYfirst EMPL ID number
Required
*
Student CUNY email
Required
*
10 Digit Phone Number
What is your home campus?
Required
*
Baruch College
Borough of Manhattan CC
Bronx CC
Brooklyn College
City College
College of Staten Island
Graduate Center
Guttman CC
Hostos CC
Hunter College
John Jay College
Kingsborough CC
LaGuardia CC
Lehman College
Macaulay Honors College
Medgar Evers College
NYC College of Technology
Queens College
Queensborough CC
School of Journalism
School of Labor&Urban Studies
School of Law
School of Medicine
School of Professional Studies
School of Public Health
York College
I had academic accommodations in HS or College
I had academic accommodations in HS or College
Yes
I had academic accommodations in HS or College
No
What is your disability?
If you would like to share, please select any you are affiliated with:
NYSCB (New York State Commission for the Blind)
SSDI
Vocational Rehabilitation Services
VR&E (Veterans Readiness & Employment)
What reasonable academic accommodation(s) are you requesting?
Upload supporting document(s)
Upload document(s) that you believe may support your request for reasonable accommodations, such as: a record of receiving accommodations in the past, or documentation from your current provider (Licensed Counselor, LCSW, Psychologist, or Doctor).
Is there anything you would like us to know before our initial meeting?
Voter Registration
Student Disability Services is a National Voter Registration Act Voter Registration Site; We are required to ask this question:
If you are NOT registered to vote where you live now, would you like information to register to vote?
Required
*
NOTE: Your response has NO effect on your accommodation request.
NO I am already registered to vote
YES I would like information
I do not want information
This ongoing interactive process to determine reasonable accommodations will consider your narrative as well as appropriate and relevant documentation of your disability. After submitting this request, you will receive a message in your CUNY email from Disability Services. Please follow the instructions in that message to schedule an initial meeting.
Document Information
Document Title
File
Required
*
Maximum file size: 10240kb
Description