Student Accommodation Request

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Student Information

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Are you currently enrolled with FSCJ
Please use your FSCJ email address

Specific Accommodation Information

Are you requesting specialized staff assistance for ADA accommodations to assist your continued education?Required

*Check Yes if you require accommodations for a disability

Do you require ADA accommodations for FSCJ student housing?
Upload supporting document(s)Required

If you do not have documentation of your disability you will be unable to submit this form. If you have any questions please email .

Do you have a FERPA release on file?
If you are not registered to vote where you currently live, would you like to apply to register to vote?Required
If you are registered to vote where you live now, would you like to update your voter registration record?Required
Voter Registration Application