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Reasonable Accommodation Review Process

Nashua Community College > Student Experience > Disability & Accessibility > Reasonable Accommodation Review Process

Reasonable Accommodations Request

Contact Us for Additional Information

Student Name*
First Last
Date of Birth*
Month
Day
Year
I am 18 years old and my own legal guardian
- Yes
- No
If No, list legal guardian’s name:
NCC Student ID (Optional)
Phone*
Email*
Program
Advisor
I have a documented disability in the following area(s):*
- ADD/ADHD
- Chronic Health Condition
- Hard of Hearing
- Learning Disability
- Mental Health
- Traumatic Brain Injury
- Vision Impairments
- Other
Describe your learning strengths/preferential learning style.*
Describe how your disability has impacted your learning and any specific challenges.*
What were the most beneficial/preferred supports you used previously?*
If OTHER, please describe
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Phone
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505 Amherst St,
Nashua, NH 03063
P. 603 578-8900
E. [email protected]

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