UMass Amherst Center for Agriculture, Food & the Environment - Accommodation Request Form

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* 1. Your name

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* 2. Contact Information

Name

Email Address

Phone Number

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* 3. What type of accommodation are you requesting?

Access to a website

Access to printed materials

Accessible Parking or Building Access

Permission for a service animal

Sign language interpretation

Other accommodation (describe below)

Specify "Other"

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* 4. Is your request for a specific event

No

Yes

If yes, provide name and date of event

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* 5. Why are you are making this request? Provide a brief description.

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* 6. Provide any additional information that might help us to understand the nature of this request and how we can accommodate you.