Student Accommodation Request

Student Information

Completing this online intake form is the first step in the interactive accommodations process for UNH students (Register with SAS, Submit Documentation, Meet with SAS). Once you have completed this form, you will be sent additional information about how to submit documentation. Please be sure to complete all steps of the interactive process.

This form should only be completed by UNH students. While other UNH departments, advocates, and parents may assist students, it is the student’s responsibility to complete the form and to ensure the information shared is accurate. Please complete all fields to the best of your ability. It should take approximately 5-10 minutes to complete, but exact time to complete it depends on how much you choose to share.

If you have questions at any time, please contact the SAS office at 603-862-2607 or sas.office@unh.edu.

First Name

Preferred First Name

Last Name

Middle Name

Student ID

UNH Email

Please use your university issued email address.

Phone Number

Pronouns

Are you a prospective student?

A prospective student is one that is not yet officially enrolled at UNH

Are you a transfer student?

Are you a veteran?

Are you an international student?

Are you a UNH student athlete?

Disability Information

Tell us about your disability/disabilities

Is your disability temporary?

How does your disability impact your classroom and/or exam experiences?

How does your disability impact your experiences outside of the classroom (housing, dining, transportation, etc.)?

Accommodation Information

What type of accommodations are you requesting?

Please select all that apply.

What specific accommodations are you requesting?

What accommodations have you had in the past? How were these helpful?

Is there anything else you would like SAS to know?

Confirmation

I, the student listed in the student information section, am the person completing the form.

This form should be completed by the student requesting accommodations. The student may have support in completing the form, but it should be completed by the student.

I acknowledge that submitting this form does NOT complete the accommodation process.

Completing this form is only step 1 of the interactive accommodation process. The interactive accommodation process includes 3 key steps:

Register with SAS
Submit documentation
Meet with SAS

Students need to complete all 3 steps to complete the accommodation process. If you have any questions about completing the accommodation process, please follow-up directly with SAS.