Form cover
Page 1 of 2

Accommodations Request Form

This form allows students with medically or psychologically documented conditions to formally request academic accommodations to support your academic success. Supporting documentation from a licensed medical or mental health provider is required. Documentation must be current, signed, and dated, and must include your diagnosis and how it affects your coursework.
All information submitted will be kept confidential. Your request will be reviewed by the Accommodations Office at Maestro College, who may contact you to discuss your needs further.

Full name

Email

Program

Cohort

Date of request

Please describe the accommodation(s) you are requesting

Please provide details about your condition and how it impacts your academic performance

Please attach supporting documentation

By submitting this form, I understand that:

By submitting this form, I understand that: