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Request Accommodations

Please Note: This form is to be used by returning students only. New students cannot use this online form, and they are required to arrange an appointment with the DSS.
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Name
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Email
  
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Term:

Example: Fall 2015 Complete one request form for each term.

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Last 4 digits of your Grizzly ID number:

Don't know your Grizzly ID? Visit oakland.edu/grizzlyidinfo

Requesting Accommodations for 1st Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name:
Requesting Accommodations for 2nd Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name:
Requesting Accommodations for 3rd Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name:
Requesting Accommodations for 4th Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name:
Requesting Accommodations for 5th Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name:
Requesting Accommodations for 6th Course: 

Course Name:

Example: AH 100

CRN Number:

This is a 5-digit number that can be found on your student detail schedule in MySAIL.

Faculty member's name: