Accessibility Request Form

Due to campus construction, many changes have been made regarding parking arrangements. However, HCC remains committed to providing accessible parking for students requiring handicapped spaces. If you are a student with a disability and have concerns about getting to your class, please complete the following form.

Personal Information

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First name

Additional Information

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Last name

Are you a student using a wheelchair?

- None -Yes

Student ID#

If you are submitting this request and do not currently have a handicapped plate or hangtag from the Department of Motor Vehicles (MVA), please state your reason for completing this request in the box below

Email address

Phone

Courses/times that cause you concern

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Course 1

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Course name

Course 2

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Days/Times

Course name

Course 3

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Building/Room

Days/Times

Course name

Building/Room

Days/Times

Building/Room