SAINT LOUIS UNIVERSITY SCHOOL OF LAW
AMERICANS WITH DISABILITIES ACT
ACCOMMODATION REQUEST FORM
Name:
Banner ID number:
Planned Graduation Date (MM/YY):
Saint Louis University School of Law is committed to providing an inclusive
environment, responsive to the needs of all students. In doing so, it is guided by the
mission statement of the University, the Americans with Disabilities Act and Section 504
of the Rehabilitation Act of 1973.
Please complete all sections of this form. Requests for accommodation based on
physical or psychological illness or disability must be accompanied by
medical/psychological documentation which includes a current diagnosis, prognosis and
specifically recommended accommodations. Requests for accommodation based on a
learning or cognitive disability must be accompanied by an assessment and testing by a
licensed professional which complies with the information required by Chapter 14 of the
Student Handbook.
Completely describe your disability and attach required documentation:
Describe the accommodations you are requesting:
Please state whether you have previously received academic or testing accommodation
and attach documentation of receiving such accommodation:
______________________________ _____________________________
Signature Date
