Student Registration Form

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Student Information

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Please use your college issued email address

Specific Accommodation Information

My diagnosed disabilities fall into the following categories

These conditions could include temporary orthopedic conditions, concussions and temporary medical conditions. Temporary is lasting for only a limited period of time.

Have you been tested and/or received a diagnosis in the past three years?
Are you requesting a medical accommodation?
Are you requesting an academic accommodation? (Academic Accommodations apply to classroom needs/requests)
Are you requesting a housing accommodation? (Emotional Support Animal, Medical Single, specific access to location, etc.)

Please note that our Accessibility Services Documentation Policy states that a letter from your medical provider dated within the last 3 years is required.  Should you have any questions about proper documentation, please visit this link and click on the Accessibility Services tab.  

Email jacobs@hanover.edu with any questions.  

Drop files here to upload