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Living and Learning Accommodation Application

  • The accommodation application must be completed for each academic year by the student.
  • The student must self-disclose any information regarding this accommodation request.
  • Please note: Northwest does not accept IEP or 504 plans as supporting documentation.

* indicated required fields

Request for Accommodation



Contact Information







(if you haven't been assigned one, please enter n/a)



Academic Profile



(if you haven’t been assigned an academic advisor yet, please enter n/a)


Accommodation information  be shared or discussed with other Northwest departments and your parents.

Specifications



*Have you received any accommodations in the past at Northwest?



*****  ALERT  *****

Before your application is considered complete, you must send an email to ada@nwmissouri.edu with your medical or counseling professional’s supporting documentation including accommodation recommendations (on their letterhead and signed).

Please enter your initials in the Signature field below which constitutes your intent and authorization to submit the accommodations application.


 

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