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Public Accommodation Request
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Please enter your information
Your 7 digit Student ID Number
Please use your Iowa Central email address
Which Campus do you plan to attend?
Please enter your first semester of enrollment at Iowa Central Community College for which you are requesting accommodations.
If you are an incoming student, please enter your first anticipated semester (for example, Fall 2020).
Specific Accommodation Information
My diagnosed disability falls into the following category
If "other" please specify
Please describe how your disability affects you in the academic or residential setting.
What accommodations are you requesting?
If you are unsure please indicate below and the Accommodations Office will discuss possibilities with you.
Upload supporting document(s)
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