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 event registration. • 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. By submitting this form, you agree to allow NAFSA to use your responses in accordance with NAFSA’s Privacy Policy http://www.nafsa.org/Legal_Information/Privacy_Policy/ . You agree that NAFSA may collect personally identifiable information that you provide in your response, including your name and email.

Submission Date

mm/dd/yyyy

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.

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

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

Drop your files here

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

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