> Services > Accommodations Renewal Form

Accommodations Renewal Form

Name

Class Year

Banner ID#

Term/Year Requested For

First Course

Course Code (e.g., DWC 201)

Course Registration Number (CRN)

Professor's Name

Accomodations Being Requested

Second Course

Course Code (e.g., DWC 201)

Course Registration Number (CRN)

Professor's Name

Accomodations Being Requested

Third Course

Course Code (e.g., DWC 201)

Course Registration Number (CRN)

Professor's Name

Accomodations Being Requested

Fourth Course

Course Code (e.g., DWC 201)

Course Registration Number (CRN)

Professor's Name

Accomodations Being Requested

Fifth Course

Course Code (e.g., DWC 201)

Course Registration Number (CRN)

Professor's Name

Accomodations Being Requested

Based on my documented disability, I am requesting accommodations for each one of the courses listed below. By submitting below, I certify that I have received these same accommodations at Providence College in the past. I also realize that I must schedule an appointment with a member of the OAS staff to request any new accommodations.

Accommodations Renewal Form

Academics & Apply

People & Places

Facts & Info