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Accommodation Intake Form 2026

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Click ‘Get Form’ to open the Accommodation Intake Form in the editor.
Begin by filling out your Personal Information. Enter your Name, Date, Date of Birth, WCSU ID, Cell Number, and WCSU Email. Ensure that you use your official WCSU email for communication.
Indicate your Semester Standing and whether you are Matriculated (Full-Time or Part-Time) or Non-matriculated. If applicable, answer if you are a transfer student and provide details about your previous institution.
Complete the Background Information section by detailing your documented disability/disabilities and any accommodations you are requesting. Provide information on when your disability was identified and any academic assistance received in high school.
In the Authorization for Request or Release of Information section, review the statements carefully. Indicate your consent regarding the release of information by checking the appropriate boxes.

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