Revised 6-20 TEK
NMT Student Agreement for Disability Services and Accommodations
My signature below affirms that I am registering with New Mexico Tech’s Office for Disability Services (ODS)
as a student with a disability, as defined by the Americans with Disabilities Act and Section 504.
I understand that despite my disability (Please initial each):
I fully understand that this request for accommodation(s) is based on New Mexico Tech’s need for
documentation to support my request for services.
I understand that once this request for accommodation(s) is processed, I may be required to provide
additional documentation, on a case-by-case basis, of changes in my condition. I understand NMT may not be
able to provide services until appropriate documentation has been received.
I agree to allow the disclosure of my agreed upon accommodations to my professors. I am aware that it is
my responsibility to deliver and discuss my accommodation letters with each professor. I understand that
choosing not to utilize accommodations is my choice, but they may not be used retroactively.
I understand that ODS may have student workers assisting with filing of records. I understand my
information may be shared with those within the University who have a legitimate educational interest.
I must meet the academic standards as set forth by my program of study and the classes I take, with or
I am responsible for following the Universities’ policies and the New Mexico Tech Student Handbook: A
Guide to University Citizenship.
I am responsible for contacting ODS each semester to review my accommodation(s).
I understand that most contact with the Office for Disability Services will go through my student email
account at New Mexico Tech.
If I desire to have any information disclosed with outside parties, including my parents; I will sign a release
of information form with ODS.
I understand that student or faculty questions about accommodations should be submitted to ODS.
I, the undersigned, authorize the staff providing disability accommodation services to contact relevant New
Mexico Tech student services staff, faculty or administration to share information pertaining to my
accommodation(s) for the purpose of coordinating appropriate services and determining any necessary and
reasonable academic accommodations.
Student Signature Date:
NMT ODS Representative Signature: Date:
The institution will provide ac
commodations to students with disabilities to enable students to meet institutional
standards without compromising the Academic Integrity of the course, program, assignment or activity.