ADA Academic Accommodations Registration Form (Spring 2024)
Please complete the information below and a Disability Services staff member will contact you. In order to receive accommodations through JSU Disability Services, you must provide documentation that specifies your disability.
Email *
I. J-Number *
II. Gender: *
III. Ethnicity: *
IV. Name (First Name, Middle Initial, Last Name) *
V. Age *
VI. Contact Number *
VII. Home Address (include City, State, Zip) *
VIII. Local Address (if applicable)
IX. Registration Status *
X. Veteran Status *
XI.  Are you a student majoring in STEM? ("STEM" majors include Science, Technology, Engineering, and Mathematics). *
XII. Do you currently participate in any collegiate sports or athletic programs? *
XIII. If you answered yes to question XII, please provide the name of the sport you participate in. *
XIV. Are you currently a member of the college band? *
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