Disabilities Services at SU
For Students

Adjustments Request Form

  • General Student Information

                                                                                                        

     

     

     

     (if registered for less than 12 credits)

    Class 1

    INSTRUCTIONS: Please list courses as they are listed on official schedule, e.g. UCOR 2900-02 Smith

    Course Name & Section #:

    Instructor:

     
                          

    Notetaking

             

     

    Class 2 (if applicable)

    Course Name & Section #:

    Instructor:

     
                          

    Notetaking

                          

     

    Class 3 (if applicable)

    Course Name & Section #:

    Instructor:

     
                          

    Notetaking

                          

     

    Class 4 (if applicable)

    Course Name & Section #:

    Instructor:

     
                          

    Notetaking