Initial Accommodation Request

* indicates a required field

Student Information

Please enter your information below. You MUST have a valid SSU ID and email to complete this form.

If you have not applied to/been accepted to Salem State University, please contact our office to schedule an informational meeting.

Phone: 978.542.6217

Email: caar@salemstate.edu

Please enter your SSU ID, numbers only (no S in front)
Please use your university issued email address (i.e. h_granger2@salemstate.edu)
Cell phone number or best number to reach you
Are you a first generation college student?
Are you a Veteran of the U.S. Armed Forces?
Are you a: Required
First semester requesting accommodations:Required
Release of InformationRequired
I give permission for Disability Services and Salem State University faculty members to discuss information relating to my academic accommodations at Salem State University.
Living on Campus:
Please indicate your availability for a meeting - we meet with students Monday - Friday 9am-4pm. The more options you provide, the easier scheduling will be! (i.e Mondays from 9-12, Tuesday and Thursday 2-4 and Fridays all day)
Appointment type preference Required
If no preference is selected, appointments will be scheduled in person

Disability/Accommodation Information

Disability Information
Check all that apply

Please click 'Add Item' below to provide any electronic copies you have of your documentation.

Please upload documentation in PDF or Word (.doc) format to avoid processing delays. Ensure files are not password-protected. Inaccessible documents may need to be resubmitted.

Contact our office (978.542.6217) if you need assistance submitting documentation in an alternative method.

Drop files here to upload