Request for Accommodations During Emergencies

CSM will comply with the Americans with Disabilities Act (ADAAA) and all applicable, federal, state, or local laws in providing services to individuals with disabilities.

"No otherwise qualified individual with a disability shall, solely by reason of his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance."

CSM values your privacy, if you will require assistance during an emergency with evacuation and/or shelter in place/lockdown please let us know and we will strive to do all we can to fulfill your requests.

Request for Accommodations During Emergencies
Name:
Phone:
Emergency contact phone:
Email:
Campus: If other:  
Select all that apply: I am a...
Please provide your class schedule, office location, or a brief description explaining where you may be found.
What can we do to assist you in the event of an emergency?
Is this a temporary or permanent request?

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