San Juan College Disability Services Accommodation Letter Request Date: Student Name: SJC Student ID: SJC Email:[email protected] (Use of personal e‐mail address for services for current SJC students is prohibited) I need accommodation letters for the following: Semester: FA SP SU Year: _____ COURSE NO./SECTION INSTRUCTOR (Example) MATH 095‐001 WALTON By submitting this form I understand that I am responsible for: 1. Picking up the Accommodation Letters from the Advising and Counseling Center 2. Obtaining signatures from the instructors where accommodations are needed 3. Returning the letters to the Advising and Counseling Center 4. Reporting any problems or changes in my schedule to the Disability Services Coordinator at (505) 566‐3271 or email [email protected]. By entering your student ID here, you’re legally signing this document. You will be notified when the letters are ready for pick up via SJC email. (***If you need assistance with your SJC email account, please contact the SJC Helpdesk at (505) 566‐3266.) If you do not receive an e‐mail notification about your letters within 3 business days, please contact Disability Services at (505) 566‐3271 or email [email protected]. 02/27/15 Submit