Disability Accommodations Application
Accommodations are individualized based on the learning needs of each student and upon documented verification of disability. Please visit our website (http://www.apu.edu/lec/disabilities/) for more information.
Name (First and Last) *
Your answer
Student I.D. Number *
Your answer
Cell Number *
xxx-xxx-xxxx
Your answer
APU Email Address *
Your answer
Address *
Address, City, State, Zipcode
Your answer
Academic Level *
Class Status (if undergrad) *
Location *
Regional Campus Location (if applicable)
Your answer
Major/Program *
Your answer
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