Accommodations - Request Form

NMU IN:

First Name:
Last Name:

E-mail Address:

Street Address:

City:

State or Province:

ZIP:

Phone Number:
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Cell Phone Number:
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Semester Requesting:

Courses needing accommodations:

Add a course (up to 5)

Signature

By entering my initials in the box above: I understand that by submitting this form, I am giving the Coordinator of Disability Services permission to contact any or all of my evaluators and/or physicians for additional documentation and/or clarification.

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Events

Tuesday Feb. 12
WinterFest 2013 Entries Deadline
All Day Event - University Center
Student Recital - Music Department
4 p.m. - Reynolds Recital Hall, C.B. Hedgcock Building
Ethics and Leadership in an Academic Setting
5 p.m. - University Center, Back Room
Wednesday Feb. 13
Summer Job Fair
1 p.m. - Great Lakes Rooms, University Center
Black History Month: 'American History X' Film
6 p.m. - University Center, Nicolet Room
NMU Calendar of Events
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