Accommodations Request Form

For assistance with this form, please contact Amy Jackson at: 620-450-2135.

(First, Middle, Last)

Terms

I hereby grant permission to Pratt Community College to release information to appropriate instructors and staff concerning my special needs and accommodations while enrolled in college.

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620-672-9800 - 1-800-794-3091(KS Only) - Fax: 620-450-2285
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