NAFSA Accessibility Services Request Form

Thank you for your interest and sharing! This form is for accommodation requests related to a disability or ability to access a NAFSA program. Our commitment is expressed at www.nafsa.org/accessibility. We encourage you to keep a copy of this request by checking the box at the end of this form. Then, enter an email address.

• Requests should be made at the time of registration or no later than April 30, 2019.
• Upon receipt, an initial reply acknowledging the request(s) will be shared within 5 business days.
• Then, additional time is needed for research or coordination to share a decision on the request.
• We will consider and make reasonable efforts to fulfill requests for accommodation and/or direct you to available resources or services.
• We will communicate directly with you or through our contracted accessibility service provider about your request(s).

We look forward to working with you. Should you have any questions, contact accessibility@nafsa.org.

Submission Date*

First Name*
Please share your first name.

Last Name*
Please share your last name

Position/Title

Organization

Telephone*
Please share the best direct telephone number or cell phone number to reach you.

Email*
Please share the best email address to reach you directly.

Address*

Type of Accessibility Needed*
Please share the details of your need(s), question(s), or request(s).

Which Events Do You Plan to Attend?*
Please share a general overview.

Preferred Date(s) of Accommodation or Request*

File Attachments
Please feel free to upload any file attachments with additional details. Thank you.

I will provide my own personal aide.

Personal Aid Name
If you will be bringing your own personal aide please indicate their name here.

Submitted By (First and Last Name)*
Please share the first and last name of the individual completing this form. Thank you.

Send me a copy of my responses

Email address