Academic Adjustments Request Form  

Quarter

                  

General Student Information

Student Name:         Student ID #:

Current Address:  (Street, City, Zip)    

Phone Number:    SU Email Address:                                                                                                                                 
Class Status:
     SO            Other:     Major:

Accommodations Request Information

INSTRUCTIONS: List courses as appear on official schedule, e.g.  PHIL 220-03   Jones  


Class One:

Course # & Section #:              Instructor:

Accommodations Requests
:

TESTING
:              

NOTE SHARING
:                   

BOOKS IN ALTERNATIVE FORMAT
:   (remember to complete the Electronic Books Request Form)
 
                   

                                  


Class Two (if applicable):

Course # & Section #:             Instructor:

Accommodations Requests:

TESTING:               

NOTE SHARING
:            

BOOKS IN ALTERNATIVE FORMAT
: (remember to complete the Electronic Books Request Form)  

                  

                                
    


Class Three (if applicable):

Course # & Section #:            Instructor:  

Accommodations Requests:

TESTING:         
NOTE SHARING:          

BOOKS IN ALTERNATIVE FORMAT (remember to complete the Electronic Books Request Form)

                
                                
  


Class Four (if applicable):

Course # & Section #:              Instructor:  

Accommodations Requests:


TESTING
:         
NOTE SHARING:          
BOOKS IN ALTERNATIVE FORMAT: (remember to complete the Electronic Books Request Form)

                
                                
  


 

Note: If you are requesting accommodations for more than four classes, please submit a second form. Multiple forms for the same quarter will be combined. Please submit separate forms for on-going, multiple-quarter classes.

 

Regular Office Hours: 
Mon-Thurs 8:00 am - 6:00 pm
Friday  8:00 am - 4:30 pm

Summer Office Hours:
Mon-Thurs 9:00 am - 4:30 pm
Friday 9:00 am - 3:00 pm 

Front Desk: (206) 296-5740
Testing: (206) 398-4378
 
Exams may be emailed to
testingcenter@seattleu.edu

Upcoming Reminders & Deadlines

Use the links below to submit your academic adjustment and electronic textbook request forms. Request forms must be submitted each quarter you wish to use your personalized accommodations plan.

Adjustments Request Form

Electronic Textbook Request