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SAS Accommodation Application
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Student Information
Please enter your information
First Name
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Last Name
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Middle Name
Preferred Name
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Student ID
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Enter 7 alphanumeric characters, beginning with 0
Birth Date
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Pronouns
Primary Phone Number
Required
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Do you opt in to receive text messages?
Required
*
Do you opt in to receive text messages?
Yes
Do you opt in to receive text messages?
No
Please select your phone carrier
Required
*
Alltel
AT&T
Boost Mobile
CellularOne
CellularOne West
Cellular South
Edge Wireless
Nextel
Qwest
Sprint
SouthernLINC
SureWest Communications
T-Mobile
U.S.Cellular
Verizon Wireless
Virgin Mobile
VoiceStream
Email
Required
*
ONLY use Trinity University email address
Are you an incoming or current Trinity University student?
Required
*
Are you an incoming or current Trinity University student?
Current Student
Are you an incoming or current Trinity University student?
Incoming Student
Incoming Student
Required
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Entering upcoming fall
Entering upcoming spring
Trinity Tower Scholar
Current Trinity Student
Required
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Freshman
Sophomore
Junior
Senior
Graduate Student
Non-Degree Seeking
Disability and Accommodation Information
What is the nature of your disability and how does it impact you?
Required
*
Please select the purpose of your accommodation request
Required
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Temporary/Short Term Disability
Learning Disability/or Medical/Mental Health Condition
Pregnancy or Pregnancy-Related Condition
Parenting-Related Need
What type of accommodation(s) are you requesting?
Required
*
What type of accommodation(s) are you requesting?
Academic Accommodation(s)
What type of accommodation(s) are you requesting?
Housing, Dining, or ESA Accommodation(s)
What type of accommodation(s) are you requesting?
Both
What accommodations have you used previously?
What academic academic accommodations are you requesting at Trinity University?
Required
*
What housing, dining, or ESA Accommodations are you requesting at Trinity University?
Required
*
Documentation
Please select the type of documentation you have
Required
*
Medical Records
SAS Verification Form
Do Not Currently Have Documentation
Other (Specify Below)
Other type of documentation
Upload supporting document(s)
Document Information
Document Title
File
Required
*
Maximum file size: 10240kb
Description