Request for Accommodations Form

Request for Accommodations Form

To request reasonable accommodations, complete this form, attach photocopies of all appropriate documentation described below or have them sent to the College of Nursing Attention to Student Success Coordinator (contact information below), sign and date the attestation.

If you have any questions regarding your request, contact Sara Peña, the Student Success Coordinator.
Phone: 315.448.5594
Email: sara.pena@sjhcon.edu