Accessibility Request

* indicates a required field

General Information

Instructions

To apply for accommodations with the Office of Accessibility (OA), complete this accessibility request form. It is important for you, the student, to complete this form so that our office can understand your needs. Attach documentation of your disability with this form, if available. After it is received, OA will contact you for an appointment to discuss your disability-related needs and requests. 

Contact Information

For questions or concerns, please call 443-412-2402, email accessibility@harford.edu, or stop by our Office on the upper floor of the Student Center.

ex. H########

Please use your college issued email address

Would you like to receive text message reminders?

Text Message Disclaimer: By clicking Yes, I agree that the text messaging capability is predicated upon my service provider delivering the text message to me in a timely manner. I agree not to hold Symplicity responsible for missed messages and any pursuant damages. I further understand that there may be charges associated with the text messages, and these charges are ENTIRELY my responsibility.

Mobile Carrier
Please check if you receive any of the following types of Financial Aid:



Voter Registration InformationRequired

Are you registered to vote?

How were you referred to us?
Select all that apply.

Specific Accommodation Information

My diagnosed disability falls into the following category(ies)
{"display_name":"My diagnosed disability falls into the following category(ies)","hidden_field_name":"ms_field_1","init_id":"ms_field_1","init_link":"","has_autocomplete":false,"has_hierpicklist":null}

(During lecture, taking tests, studying and/or class participation)

If you are taking the ACCUPLACER placement tests, will you need accommodations?
Documentation

If available, you may upload your supporting documentation below. (Please upload one document at a time by selecting the Upload File button.)  

For guidance on documentation, please visit our Office of Accessibility webpage and review the Documentation and Forms section.

Please select the Submit button to send your request to our office. 

Drop files here to upload