Public Accommodation Request

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Student Information

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First Name

Last Name

Middle Name

Preferred Pronouns

If you have a preferred set of pronouns - please indicate them here

Other Preferred Pronouns

If you have preferred pronouns other than those listed above, please indicate them here.

Date of Birth

Phone Number

Please only use your Ohio University Email address.

Have you been admitted to Ohio University?

In order to apply for accommodations - a student should first be admitted to Ohio University and have been issued a 10-digit PID #

Accessibility Specific Information

Instructions: There is much variability within each accessibility category, and therefore, the type of accommodations needed can vary significantly. Below, you will find descriptions of the various types of disabilities recognized in the United States. Student needs vary according to each individual. Therefore, it is important for the participating student to clarify the particular accommodations she or he requests

Public Accommodation Request

Student Information

Accessibility Specific Information

Document Information