SDS Accommodations Request (Non-Booth Students)

Student ID Number

Preferred Name

Last Name

Email Address

Program Information

Academic Division

Expected Graduation Quarter and Year (e.g.: Winter 2025)

Accommodations Information

REQUIRED: A Booth intake meeting is required before your accommodations can be implemented for Booth MBA sections. To schedule a 15-minute appointment, please visit: https://calendly.com/accommodations-at-booth. If you have already attended an intake appointment, you may skip this step.

Please confirm:

I have attended an intake appointment.

I have scheduled an intake appointment.

Please enter the date of your scheduled intake appointment:

Please upload your Accommodations Determination Letter (ADL) from the Student Disability Services Office:

Which quarter are your requesting to implement your accommodations?

Do you need accommodations for any class this quarter?

Yes

Please select course:

Section Number (e.g., -01, -85, -81, -88):

Professor:

Day:

Does this course have a MIDTERM?

Does this course have a FINAL?

Does this course have timed quizzes?

If your accommodations include note-taking assistance, would you like a note-taker for this course?
NOTE: Your Accommodations Determination Letter (ADL) must include a note-taking provision if you select 'yes'.

Yes

Do you need to add a second course?

Yes

Please select course:

Section Number (e.g., -01, -85, -81, -88):

Professor:

Day:

Does this course have a MIDTERM?

Does this course have a FINAL?

Does this course have timed quizzes?

If your accommodations include note-taking assistance, would you like a note-taker for this course? NOTE: Your Accommodations Determination Letter (ADL) must include a note-taking provision if you select 'yes'.

Yes

Do you need to add a third course?

Yes

Please select course:

Section Number (e.g., -01, -85, -81, -88):

Professor:

Day:

Does this course have a MIDTERM?

Does this course have a FINAL?

Does this course have timed quizzes?

If your accommodations include note-taking assistance, would you like a note-taker for this course? NOTE: Your Accommodations Determination Letter (ADL) must include a note-taking provision if you select 'yes'.

Yes

Do you need to add a fourth course?

Yes

Please select course:

Section Number (e.g., -01, -85, -81, -88):

Professor:

Day:

Does this course have a MIDTERM?

Does this course have a FINAL?

Does this course have timed quizzes?

If your accommodations include note-taking assistance, would you like a note-taker for this course? NOTE: Your Accommodations Determination Letter (ADL) must include a note-taking provision if you select 'yes'.

Yes

By submitting this form, I understand that requests received less than 6 business days prior to an exam or quiz may result in an inability to use my accommodations.

I confirm