New Accessibility Accommodation Request

North Central Michigan College is committed to providing equal opportunities and access for all students. Through the Accessibility Support Services Office, North Central provides student accommodations following the guidance of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act of 1973, and the Civil Rights Act of 1964 and the Fair Housing Act of 1968.

To apply for an accommodation, please fill out the following information as completely as possible. Please contact accessibility@ncmich.edu with any questions.

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Student Information

First Name

Last Name

Middle Name

Student ID

Please use your college issued email address

Phone Number

Specific Accommodation Information

My diagnosed disability falls into the following category

Choose all that apply

How does your disability affect you academically?

What accommodation(s) are you requesting?

Choose all that apply

If Other, please describe

Additional Accommodation Information

Emotional Support Animal

Housing Accommodation

Upload supporting document(s)

Please upload any documentation you have that may help verify specific disability and/or the need for accommodation. If necessary, students may use NCMC's Diagnosis Request for Accommodations

New Accessibility Accommodation Request

Student Information

Specific Accommodation Information

Document Information