Eastern Connecticut State University
Eastern Surveys
A CIT Service

 
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  This form is for OAS-registered students only.

This form is for OAS-registered students only. Please submit this form to request academic accommodations.

This form needs to be submitted each semester, as accommodations do not roll over. Please list your courses and the accommodations you are requesting for each course. You will be notified via an email to your Eastern email account when your Letters of Accommodations are processed or if there is a question/concern regarding your accommodation request.

Please note that current and sufficient documentation must be on file at the OAS in order to request accommodations. If you have a question about the status of your documentation, or if you do not recall which accommodations you have been granted, please email AccessAbility@easternct.edu.

Letters of Accommodations will be created only for courses listed in this form. If you change your schedule, please submit another Service Request Form to request new Letters of Accommodations.

All Letters of Accommodations will be emailed to professors and students.
   
  Student Information
   
 
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  Course #1
   
 
 

 

 
   
 
 
   

 
  Course #2
   
 
 

 

 
   
 
 
   

 
  Course #3
   
 
 

 

 
   
 
 
   

 
  Course #4
   
 
 

 

 
   
 
 
   

 
  Course #5
   
 
 

 

 
   
 
 
   

 
  Course #6
   
 
 

 

 
   
 
 
   

 
  Course #7
   
 
 

 

 
   
 
 
   
 
 
   
 
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