Online Housing Application

Welcome! New and current students with a qualified disability may use this form to request a housing accommodation.

Note to students with housing accommodations and are requesting them for the 2024-2025 academic year.

1. Housing requests are due February 6, 2024
2. Students requesting the same accommodation next year do not need to submit additional information.
3. Students requesting a different housing accommodation may need to submit additional information. Email sas@conncoll.edu to ask if a Housing Accommodation and Request Form is needed.

All other students placing a housing request read the documentation requirements below.

First-time registration instructions:

Read the documentation requirements on the SAS website https://www.conncoll.edu/accessibility-services/new-students/#how
Upload relevant documentation required to register with SAS.
Upload Housing Accommodation Request Form https://drive.google.com/file/d/1JVePMu7MukKJnQ89FcsCSPJcwu6eRs16/view?usp=sharing

Students Registered with SAS

Upload the Housing Accommodation Form https://drive.google.com/file/d/1JVePMu7MukKJnQ89FcsCSPJcwu6eRs16/view?usp=sharing

Students requesting academic accommodations can do so here:
https://denali.accessiblelearning.com/ConnColl

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name *:
Last Name *:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 8 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender *:
Pronouns:

Contact Information

Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address *:

Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Permanent Address Same as Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Additional Information

Additional Note:

Questions

Student Status

Current active student- note current housing assignment below (Specify Below)

Student returning from leave

New student

Additional Note or Comment
In your own words, describe your physical, medical, psychological, neurological, or learning disability.
Please list the housing accommodation you are requesting to have at Connecticut College.
Parent permission to Exchange Information- This permission is granted solely for the application process. Once registered, permission to exchange information is required through student profile in AIM. * (Selection is Required)

I grant permission to Student Accessibility Services staff to speak to my parent(s)/guardian(s) for the purpose of registration. Required: List the full name(s) of parent(s)/guardian(s) below.

I do not grant permission to Student Accessibility Services staff to speak to my parent(s)/guardian(s) for the purpose of registration.

Additional Note or Comment
It may be necessary for Student Accessibility Services staff consult with other Connecticut College offices as needed; such as but not limited to, Student Health Services, Student Counseling Services, Residential Education and Living, Academic Resource Center and class deans * (Selection is Required)

I understand that Student Accessibility Services staff may be in contact with other offices on campus in order to process my request for accommodations.

Additional Note or Comment

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