(For best results, please fill out this form using the Google Chrome Browser.)
I understand that I have the right to disclose my disability and request special accommodations. I also understand that I have the right to not request special accommodations.
It is my intent not to request special accommodations. I understand that by signing this intent, in the event that I find I need special accommodations, I must notify the ADA Coordinator as soon as possible and provide the necessary documentation. Until that time, no special accommodations will be made for me.
Check this box to provide your electronic signature.