Alpha Scholars Application

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Please submit the following form to request accommodations through ACU's Alpha Scholars Program. Upon completion of the form, documentation can be sent in the following ways depending on the campus. For Abilene, documentation can be emailed to alpha@acu.edu, mailed to ACU Box 29204 Abilene, Texas 79699, or faxed to 325-674-6847. If you are an online or Dallas student, please send documentation to alphaonline@acu.edu.

Once documentation has been received, an Alpha staff member will be in touch via email to schedule a time to meet. If you have any questions or concerns, please contact us at the emails listed above.

Email *

ACU Email Address *

Last Name *

First Name *

ACU ID Number *

Cell Phone Number *

Campus *

Abilene

Dallas/Online

Classification *

Incoming Freshman

Freshman

Sophomore

Junior

Senior

Second year Senior

Graduate

Other:

What is your major? *

What is your disability *

Do you have documentation? *

Yes

Not sure

In what way(s) does your disability impact you? *

What accommodation(s) are you seeking? *

By typing your name, you are certifying that the information provided in this application is true and correct to the best of your knowledge.
*

Send me a copy of my responses.

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