Public Accommodation Request

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Student Information

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If different from legal name
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Please use your Purchase College issued ID number. Your ID number begins with P00...
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Please use your Purchase College issued email address
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Specific Accommodation Information

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Choose all that apply. Please be as accurate as possible. Your answer will determine which ODR staff member you will be assigned to work with.

Please note: The Office of Disability Resources staff are mandated reporters, including in situations where a student expresses intent of harm to self or others, and where a student discloses sexual harassment, sexual assault, gender-based harassment, stalking, and/or dating violence and domestic violence as outlined in Title IX.

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Questions about appropriate documentation to submit? Visit the Office of Disability Resources' Documentation Guidelines webpage for more information.