Intake Form

* indicates a required field

Student Information

In order to begin the process to request accommodations, please answer the following questions. In addition to this form, other documentation may be required. Students requesting accommodations will also be required to meet with the Accessibility Coordinator. Please note that prior approval of accommodations, including for the LSAT, does not guarantee that accommodations will be approved by Southwestern.

First Name

Last Name

Middle Name

Student ID

Please use your Southwestern Law School email address

Phone Number

Program

Year in Program

Specific Accommodation Information

My disability falls into the following category (select all that apply)

Do you have a history of approved academic accommodations?

I am requesting the following accommodation(s)

Upload supporting document(s)

If you have existing documentation regarding your diagnosed disability and/or academic accommodation approval, please upload it using this form.

Intake Form

Student Information

Specific Accommodation Information

Document Information