Office of Accessibility Resources - North Carolina A&T State 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Student Information' section. Enter your Name, Banner ID Number, Semester & Year, and NCAT Email Address. Ensure all details are accurate for effective communication.
3. Next, provide your Emergency Contact information. Fill in the Name, Relationship, and Preferred Phone Number of your emergency contact.
4. Proceed to the 'Intake Form' section. Here, you will need to self-identify by entering your Student Banner ID, First and Last Name, Date of Birth, Major, Email Address, Local or Campus Address, and Preferred Phone Number.
5. Authorize the Office of Accessibility Resources by signing in the designated area. Include the Date next to your signature.
6. Complete the 'Disability Impact Statement from Applicant' section by providing your Name, Date, Banner ID, and Major. Describe how your diagnosed condition is currently affecting your performance in detail.

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