Establishing Eligibility Form

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Student Information

Please enter your information
Veteran Status
Please list the high schools you attended and including include dates of attendance
Please list any previous college/university you attended including dates of attendance

Disability Information

Did you receive accommodations in high school or from any other college or university?
Do you need physical accessibility assistance in the classroom, lab, etc?
Do you need housing accommodations?
Upload supporting documentation
Please note: If you do not have documentation to upload at this time, please complete and submit this form.
Verification

I hereby verify that the information I have provided is true and accurate. I understand that the information provided to Accessibility Services at Lawrence University will be kept confidential unless disclosure is necessary to determine or to arrange accommodations, such as housing, auxiliary aids, services and/or other assistance, as per my request or unless required by law.

Please type your full name