Public Accommodation Request

* indicates a required field

Student Information

Please enter your information
*
*
Your 7 digit Student ID Number
*
Please use your Iowa Central email address
*
Which Campus do you plan to attend?








*
If you are an incoming student, please enter your first anticipated semester (for example, Fall 2020).

Specific Accommodation Information

*
*
*
If you are unsure please indicate below and the Accommodations Office will discuss possibilities with you.