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Accommodation Renewal Form
Accommodation Renewal Form
Name
Class Year
Banner ID#
Email
Term/Year Requested For
Please select...
Winter 2022
Spring 2022
Summer 2022
Fall 2022
Winter 2023
Spring 2023
Summer 2023
How many courses do you need to request academic accommodations for?
1
2
3
4
5
6
7
8
First Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Second Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Third Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Fourth Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Fifth Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Sixth Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Seventh Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Eighth Course
Course Code (e.g., DWC 201)
Course Registration Number (CRN)
Professor's Name
Academic Accommodations Being Requested (i.e. extended test/quiz time)
Based on my documented disability, I am requesting academic accommodations for each one of the courses listed above.
This form is only used to request academic accommodations for which you have had prior approval by Disability Support Services (DSS) at Providence College.
Please schedule a meeting with a DSS staff member to discuss any new academic accommodation requests.
1 Cunningham Square
Providence, RI 02918 USA
Tel: +1.401.865.1000
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