Request for Accommodations

Request Information

Please enter your information below. If you are a student requesting accommodations, please click 'Student' below. If you are a DESU employee requesting accommodations, please click 'Employee' below. The person seeking accommodations should complete this request.

Please choose the role for which you are completing this request at Delaware State University:

Preferred Pronoun(s):

DSU Email

Please use your university issued email address

Cell Phone Number

(with area code) If you do not have a cell phone, please list the best direct contact number for you.

The Role I Most Closely Identify with at Delaware State University is:

Department or College

e.g. Department of Biological Sciences, University Facilities, Office of Career Services, etc.

Position

e.g. Associate Professor, Student Services Coordinator, Chair, etc.

Current Class

Major or Program of Study:

Submit

Please select Save & Close below to submit this form.

How would you classify your condition(s) or impairment(s)?

Temporary Conditions - Expected Time for Recovery:

If 'Other', please describe limitation:

Accommodations Being Requested:

Please detail any new accommodation requests you may have and/or any new condition you may be presenting at this time. Please list the accommodations your are requesting:

Upload supporting document(s)

Please upload any documents that may assist in the application process here.

Please click here to review the documentation requirements.

Medical documentation from an appropriately licensed professional is required to move forward in the accommodation request process.

Request for Accommodations

Request Information

Document Information