DocumentationStudent informationFirst name*Last name*Date*Email Address (MHSL address preferred)*PhoneStudent ID number*AddressAddressAddressAddressCityCityState/ProvinceAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState/ProvinceZip/PostalZip/PostalYear in law school* Incoming (Pre-1L) 1L 2L 3L 4LEnrollment option* Traditional, on campus Blended learning CLEO program Golden Gate Flex programDiagnosis informationPlease submit documentation from a licensed health care provider, if available. Disability Services will review prior academic accommodation letters as supplementary documentation.*Upload documentationDrop a file here or click to uploadChoose FileMaximum file size: 3MBAccommodation informationAccommodations being requested*Previous school accommodations*Previous exam accommodations*reCAPTCHASubmit
