Reasonable Accommodation for Assignment Deadline Request Form

Adelphi University recognizes that an extension of assignment deadline may be a reasonable accommodation in certain situations because one’s disability may present challenges with meeting assignment deadlines.

This form is intended only for use by students already registered with the Student Access Office that have been approved for consideration of this accommodation. Please completely fill out and submit the form below. You will receive an email from the Director of the Student Access Office indicating whether your extension request can be granted.

Name*
First Last
Student ID #*
Not sure of your ID? You can look up your Adelphi ID.
Adelphi Email*
Course*
Provide the name or number of the course in which you are requesting a deadline extension.
Name of Assignment*
Professor*
First Last
Circumstances*
Please explain in detail the circumstances directly related to your disability which are preventing you from being able to submit this assignment by the original due date.

Student Access Office

Contact

E-mail

sao@adelphi.edu

Phone Number

516.877.3806

Fax

516.877.3138

Location

Post Hall