This form is intended for students who are currently attending Humber Polytechnic. If you are a Guelph-Humber student, please do not fill out this form.

Items marked with an asterisk (*) are required.

Contact Information
Please do NOT include dashes (for example: N123456789)
Important

Would you like Accessible Learning Services to email your accommodation letter directly to your instructors? 

If you choose NO for this option, it means that you want ALS to email your Accommodation Letter to you and you will send it to your instructors yourself. 

If you choose YES for this option it means that you consent to allow ALS to share information about your accommodations with your ALL of your instructors and with your associate dean for the purpose of implementing your accommodations. We will email ALL of your instructors.  We may also include your associate dean.  

Accommodation and Program Information

You can only request accommodation letters for current or future semesters that appear below.

If the future semester you require is not available, please check again closer to the start of that semester.

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