Disability Accommodation Request for Graduates Graduation Ceremony May 25th, 2018

Graduates with mobility or hearing difficulties or other disabilities should complete this Accommodation Request for Graduates Form by May 11, 2018, for mobility assistance, an American Sign Language interpreter, or other accommodations. You may also contact DSPS office for additional information at (619)388-3513, press 9

Name

First Name Last Name

Student CSID

ie. 5448962

Contact Phone

- Area Code Phone Number

Contact Email

example@example.com

Major

Type of Accommodation Requested

Wheelchair Access Mobility Support (sitting, standing, walking, etc.) Sign Language Interpreting