Public Accommodation Request

* indicates a required field

Student Information

Please enter your information
Please use your university issued email address

Specific Accommodation Information

My diagnosed disability falls into the following categoryRequired
Choose all that apply
General Services RequestedRequired
Choose all that apply





Are you currently a dual credit (high school) student?Required
If yes, please reach out to the office at 573-986-6191 or email cbha@semo.edu for additional information.
Is this request for accommodations due to temporary injuries or illnesses?Required
Are you requesting an ESA (emotional support animal)?
Documentation


Drop files here to upload

You may also mail, fax or email documentation to Accessibility Services, instead of uploading it to this form.

Center for Behavioral Health and Accessibility Services. One University Plaza, MS 8220. Cape Girardeau, MO 63701.

Fax: (573) 986-6031.   Email: cbha@semo.edu

The above form provides an overview to the Accessibility Services staff about services that may be appropriate. The final decision regarding services that are provided will be determined by the student's documentation and what is supported through that documentation along with information gathered during the interactive intake process. You will not be eligible to receive or use your accommodations until you have a meeting with Accessibility Services and complete the registration process.

You may either call 573-986-6191 to schedule this appointment or by responding to the confirmation email. Confirmation emails are sent to your SEMO student email.

 

Release of Accommodation InformationRequired

Please list additional people who are allowed access to pertinent information related to your academic progress. Examples include parents and other support people outside of the University. It is not necessary to include instructors or faculty members.

Upon successful submission of the form, you should receive a confirmation email to your semo.edu student email account. Please follow the directions detailed in the confirmation email. Submitting your registration does not automatically qualify you for accommodations. A one-on-one conversation with Accessibility Services is a required part of the approval process for both accommodations and ESAs. 

Requests submitted on the weekend or a holiday will be addressed when the office reopens.