Public Accommodation Request

Student Information

Please enter your information

First Name

Last Name

Middle Name

Preferred Name

Hastings Email

Please use your college issued email address

Cell Phone Number

Pronoun

Check all that apply

Specific Accommodation Information

What is the nature of your accessibility request?

What is the nature of your accessibility request? Academic/in the classroom What is the nature of your accessibility request? Housing, including Emotional Support Animal requests What is the nature of your accessibility request? Dietary/Nutrition What is the nature of your accessibility request? Access to non-Housing spaces on campus What is the nature of your accessibility request? I have more than 1 accessibility/accommodation request What is the nature of your accessibility request? Other

Please tell us why you are requesting accommodations

Please tell us the nature of your primary disability or medical condition.

Please describe any accommodations you have received in previous academic settings

Is there any additional information you'd like to share that will help us understand your request?

Upload supporting document(s)

If you do not have documentation available at this time, please email any documentation you have from outside sources, such as IEP or 504 plans used during high school, psycho-educational testing reports, or documentation from healthcare professionals who have diagnosed or treated your condition to Des Curtis, Disability & Accommodations Specialist at accessibility@hastings.edu. The confidential information shared with the Disability & Accommodations Office will not be shared with any other department at the college.

Public Accommodation Request

Student Information

Specific Accommodation Information

Document Information