Request for Disability-Related Accommodations

Diversity & Access Office, Stanford University, Mariposa House, 585 Capistrano Way, Stanford, CA 94305-8230

PLEASE COMPLETE AND RETURN BY MAY 27, 2016

Please note: If you have a state-issued (any state) disability parking placard or plate, you do NOT need a Stanford temporary disabled parking permit. Placard and license plate holders are permitted to park in the the following parking spaces on campus: Designated blue disability parking spaces; Service vehicle spaces (a posted time limit may apply); Commuter (“A” or “C”) and residential permit spaces; Metered spaces (please note some visitor spaces require payment and will be posted accordingly). Temporary disabled parking permits are valid only on Saturday, June 11 at the Oval for the Baccalaureate celebration and on Sunday, June 12 at the Varsity Lot (L-97) for the Commencement ceremony at the Stanford Stadium.

PLEASE CHECK ALL THAT APPLY:

Temporary disabled parking permit

Sign language interpreter

Captioning Services

Assistive Listening Device

Printed material in Braille

Information regarding wheelchair accessible hotels

Other:

Name

First

Last

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone

Diploma Ceremony Attending (Graduate's Major/Minor)

Request for Disability-Related Accommodations

PLEASE COMPLETE AND RETURN BY MAY 27, 2016

Questions?