Academic Accommodation Application
Students requesting accommodations at Otero College must complete and submit this form along with any relevant documentation of a disability. The information requested is necessary to assist you with appropriate support services at Otero College.
Semester
Semester to begin services:
*
Please Select
Spring 2026
Summer 2026
Fall 2025
Student Information
Preferred Name:
*
First Name
Last Name
Preferred Pronouns:
He, Him, His/She, Her, Hers\Them, They, Theirs
S#:
*
Type in S#
Date of Birth:
*
(MM-DD-YYYY)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Email:
*
example@example.com
Otero Email:
example@example.com
Questions
Are you registered to vote?
*
Yes
No
Would you like to register to vote today?
*
Yes
No
Are you a Military Veteran?
*
Yes
No
What is your disability or diagnosis?
*
During your K-12 schooling, did you have an IEP or 504 Plan?
*
Yes
No
Please list any accommodations or assistance that you have found helpful in the past.
*
Please describe any difficulties or challenges you are having or anticipating having in college.
*
What is your major?
*
How did you hear about Accessibility Services at Otero?
*
Please give any information that will be helpful in providing you with the appropriate accommodations and services.
Please upload any relevant documentation of your disability.
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