Cochise College New Accommodation Request

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Accessibility Specific Information

I hereby apply for services for individuals with disabilities at Cochise College. I understand that it will be necessary for me to provide documentation of disability and that the Accessibility Services Office will provide reasonable accommodations based on this documentation so that I may fully participate in the educational process. I also understand that all information I provide to Cochise College will remain confidential and will only be used to determine reasonable accommodation(s). 

If you are an employee, please replace the 'C' to an 'E' in your Cochise ID (example: E12345678). 

Please use your college issued email address
Choose all campuses you have classes on.
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Please type out the accommodation(s) you're requesting. 

Upload supporting document(s)Required

To be considered for accommodations, provide medical documentation of your diagnosed disability or an IEP (Individual Education Plan within the last 2 years).

Which semester(s) are you requesting accommodations for?Required
Select all that apply