The information requested below is for the purpose of providing reasonable accommodations for students with documented medical disabilities regarding campus housing. A person with a disability is defined as "any person who (1) has a physical or mental impairment which substantially limits one or more major life activities, (2) has a record of such impairment, or (3) is regarded as having such an impairment." While your request may be considered prior to you being accepted for admission to the university, actual accommodations and assignments will be provided following verification that you have been admitted and completed your residence hall application, deposit, and meningitis requirement.

Consideration for special accommodations includes the following steps:

If necessary, Residence Life will consult with Disability Services and the Residence Life Accommodations Assessment Committee regarding your documentation and provision of reasonable accommodations. Please refer to the Guidelines for Documentation of a Disability, which outlines the procedure for requesting special accommodations. Your submission of this form gives permission for the Residence Life Department staff to discuss your disability with persons responsible for arranging appropriate reasonable accommodations and for committee review, if needed. Otherwise, information about your disability will be regarded as confidential.

Request Form

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Please answer the following questions:

Thank you for applying for special accommodations. We will process your file once you have submitted this form and appropriate medical documentation to the Residence Life Department. Appropriate medical documentation must be forwarded to:

D’nese Haddox
Residence Life Department
c/o Special Accommodations
Box 13054, SFA Station
Nacogdoches, TX 75962

936-468-2074 (fax)

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