Stephen F. Austin State University
SFA New Student Orientation Accommodations Request Form
Office of Disability Services
Student Information
Student's Name:
Student's Date of Birth:
Student's Campus ID number:
Relationship of person in need of accommodations:
Student
Parent
Other
If
student
: will someone be accompanying the student?
Yes
No
Parent's name for students under 18 years old:
Person Needing Accommodations
Name of person needing accommodations:
Phone:
Fax:
Email:
Orientation Sessions
Identify the Orientation session you will be attending.
AXEcepted Day (in-person dates):
June 6
June 13
July 18
July 25
August 1
AXEcepted Day (virtual dates):
May 16
July 11
Semester Orientation:
Fall start - August 21
Accommodations Needed
Select the appropriate accommodations:
Mobility assistance
Scribe/reader
Interpreter
Large print format
Braille format
Electronic format
Describe the type of assistance that you will need during orientation (please be specific)
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