Office of Educational Accessibility Pre-Intake Registration

If you require accommodations or assistance completing this form please let us know. You can contact the Office of Educational Accessibility at or by calling 215-717-6616.
* indicates a required field

Student Information

Please enter your information
Please use your university issued email address

Disability Information

Did you receive support services or other accommodations (i.e., IEP/504 Plan) in grade school, high school?

Academic Accommodations

Are you requesting Academic Accommodations?Required

Housing Accommodations

Are you requesting Housing Accommodations?Required

Meal Plan Accommodation

Are you requesting Meal Plan Accommodations?Required
Do you carry an epipen?
Are any of your allergies airborne?

Documentation and Submission

Schedule an Appointment

Please schedule an appointment with the Office of Educational Accessibility

Upload supporting document(s)
Documentation examples include IEP, 504, psychological testing, doctor's letter Acceptable formats include: .docx, .pdf.