Disability Services - Request an appointment for initial accomodations

This form is for students who have not been approved for accomodations through Centenary's Disability Services office.

Once you submit this request, you will soon receive an email or text message regarding appointment dates and times. You may also contact the office directly at 318-869-5466 to set up an appointment.

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* 1. First and Last name

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* 2. Email address (Centenary email address preferred)

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* 3. Phone number

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* 4. Preferred method of communication

Text message

Email

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* 5. Nature of Requested Accomodation(s)

Academic

Housing

Emotional Support Animal

Other (please specify)

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* 6. Please list your availability for an appointment (i.e., Monday mornings, Wednesday between 1pm-3pm, etc.) Disability Services office hours are Monday-Thursday 8am-5pm and Friday by appointment only.