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Study Away Accommodation Request
This form is for students requesting approved accomodations for study away programs.
Student First and Last Name:
Student ID (NOT UniqueID) :
Contact Telephone Number:
STUDY ABROAD INFORMATION
Name of Program (For example: Duke in Berlin)
Name of the Institution (For example: Free University)
Location of the Program (For example: Berlin, Germany)
Please list the accommodation(s) you have been approved for and are requesting.
Please include any special housing accommodations you receive at Duke and are requesting in your program
The screenshot below shows an example of accommodations that may be requested:
The SDAO and Global Education Office staff members will use this form to communicate to your Study Away Program your requested accommodation(s) and information regarding the impact your disability has on your education, living, and other arrangements. We will share this information in order to explore the availability of accommodations at your study away site. Please understand that some or all of the accommodations that you receive at Duke and are requesting during your Study Away Program may or may not be available, but that efforts and attempts will be made to provide your requested accommodations or alternative accommodations if possible.
By typing my name in the box below, I hereby confirm that I have read the Acknowledgement Paragraph above.
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