Accomodation request form

Before filling out this form, you must first apply and be accepted to Northwestern College. After you have been notified of your acceptance to Northwestern College, you may complete this form and provide documentation about your disability. If you do not have documentation, please complete the form as best as you can. If you have documentation, respond to all questions as thoroughly as possible and submit the documentation as directed. Information included in this request will generally be treated as confidential, only to be shared as needed to ensure equitable access. If you need assistance, please contact Northwestern's accessibility specialist.

Personal information

Please provide your name and personal information.

By filling out this form, you are initiating your request to be established as a student with a disability in accordance with federal and state regulations.

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