Disability Accommodation Request Form                 Wellesley College Commencement 2023
Accommodation requests should be submitted by May 8.  
Sign in to Google to save your progress. Learn more
Email *
Name of Graduating Senior *
All guest accommodations will be made under the Senior's name.
Name of individual needing an accommodation *
Disability or Health Need *
Please describe the disability or health need of individual needing an accommodation
Accommodation(s) Requested
Based on the needs described above, please check all accommodations being requested.
Contact Information
Please add your email and/or phone number where we may contact you.
Name *
Phone Number
Email
Comments or Questions
Please add additional information or questions you may have.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wellesley College.

Does this form look suspicious? Report