Public Accommodation Request

* indicates a required field

Academic Accommodations Request

Incoming students – please DO NOT submit this form until June 2026

If you have a documented disability, please complete the following questions so that Access Services at Austin College can better understand the accommodations you may need. This form must be completed by the student.

All information provided will remain confidential and will only be shared with appropriate college personnel on a need-to-know basis.

For more information about access services, please visit the CSSAS website. You may also contact us at jreed@austincollege.edu.

Please note: The Office of Student Life manages all Housing Accommodations and will require a different form; their office can be reached at studentlife@austincollege.edu.

First Name

Last Name

Middle Name

Student ID

Please enter your 7-digit student ID, including the leading 0.

ONLY use your Austin College issued email address.

Phone Number

Please provide the student's phone number.

Specific Accommodation Information

What is the nature of your disability?

How and when was your disability diagnosed and documented?

How does your disability affect you academically? What accommodations have you used previously?

What accommodation(s) are you requesting at Austin College?

Upload supporting document(s)