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Accessible Furniture Request Form

This form is only for those students who have been approved for Accessible Furniture on the Disability Support Accommodations Agreement.  In addition, you only need to request furniture that is not standard in most classrooms.  In the form below, you will have the options to select commonly requested furniture.  Please make sure that you only select furniture which you have a specific need for based on your disability.

This form needs to be submitted each semester after enrolling in classes.  Please submit this form at least 10 business days before your classes begin to ensure that the furniture can be placed in time.

Personal Information
Please use a current, working phone number.
Counseling Contact
Please indicate the builiding your class is in. (Ex-Main, ATC, CSC)
Please indicate the room number your class takes place in.
Furniture Options
Use this area to list any furniture options you do not see on the list above.
Is the item you are requesting an approved accommodation?
Please add any other details about the furniture request that you want to share.