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<div class=Section1>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal>If you are registered with Student Disability Resources and
Services and receive classroom accommodations and have not submitted a request
for instructor accommodation letters for the Fall 2009 semester, please
complete the form below and send to Student Disability Resources and Services
(email, fax, mail, or drop off). Please remember that accommodations are
not retroactive.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>If you have submitted the request form and been notified
that your letters are complete, please stop by our office to pick up your
letters and deliver to your instructors.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Sincerely,<o:p></o:p></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Leigh Ann Powell, M.S. EDL</span><span style='font-size:12.0pt;
font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Coordinator of Student Disability Resources & Services</span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Texas A&M University-Commerce<br>
Gee Library Room 132</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>P.O. Box 3011</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Commerce, TX 75429</span><span style='font-size:12.0pt;font-family:
"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Phone (903) 886-5835</span><span style='font-size:12.0pt;
font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Comic Sans MS";
color:navy'>Fax (903) 468-8148</span><span style='font-size:12.0pt;font-family:
"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'> <o:p></o:p></span></p>
<p class=MsoNormal align=center style='text-align:center'><img width=163
height=72 id="Picture_x0020_1" src="cid:image001.png@01CA1F2F.3F572480"
alt="Block with line"><b><span style='font-family:"Arial","sans-serif"'><o:p></o:p></span></b></p>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-family:"Arial","sans-serif"'>ACCOMMODATION LETTER REQUEST FORM<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Students
registered with the Office of Student Disability Resources and Services must
(SDRS) notify their professors of their accommodation needs by providing them
with accommodation letters created by SDRS. Accommodation letters provide
formal notification of students’ registration with SDRS and their specific
accommodation needs. In order to receive reasonable accommodations for their
classes, students are required to present each of their professors with an
accommodation letter.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Students must
have their professors’ sign at the bottom of the accommodation letter.
Sometimes professors may wish to contact SDRS to discuss the recommended
accommodations before final determination of accommodations can be made.
Students must return the signed letters to SDRS in order to receive their
course accommodations.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Students are
advised to complete this process prior to or during the first two weeks of each
new semester so that accommodations can be provided in a timely manner. Students
are advised to make an appointment with their professors in order to present
their letter and discuss the provision of accommodations, including the
location of testing accommodations. If students have any concerns or
difficulties with the provision of the accommodations, they must contact SDRS
immediately.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Forms may be
submitted in person at the Office of Student Disability Resources and Services
or by fax at (903) 468-8148. Please allow three business days for
accommodation letters to be prepared by SDRS. You will be contacted by either
email or phone when letters are ready to be picked up.<br>
<br>
<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Student Name:
__________________________________ Date: __________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Email
Address: __________________________________ Phone: ________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Please
indicate status: </span><span
style='font-family:"Times New Roman","serif"'><a name=Check1></a></span><span style='font-family:"Arial","sans-serif"'>Undergraduate </span><span
style='font-family:"Times New Roman","serif"'><a name=Check2></a></span><span style='font-family:"Arial","sans-serif"'>Graduate Term:
________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Advisor/Success
Coach: _________________________________________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Please
provide the following information:<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>1. Course
Title: __________________________________ Professor:_____________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: _________________________Campus: _____________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>2. Course
Title: __________________________________ Professor:_____________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: _________________________Campus: ______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>3. Course
Title: __________________________________ Professor:______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: ________________________ Campus: ______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>4. Course
Title: __________________________________ Professor:_____________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: ________________________ Campus: ______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>5. Course
Title: __________________________________ Professor:______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: ________________________ Campus: _______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>6. Course
Title: __________________________________ Professor:_______________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'> Course
Number/Section: _________________________Campus: _______________________<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-family:"Arial","sans-serif"'>SDRS
Office Use Only:<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Date Form
Received:_______________________ Staff Initials: _____________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Date Letters
Prepared/student notified:_________________________________ <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Date Letters
Picked-Up: ____________________________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Student
Signature:_________________________________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'>Date Signed
Letters Returned to SDRS: ________________________________<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
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