Disability Services Class Schedule Request Form

To be completed only by students currently registered with UTSA Disability Services.

More information about requesting accommodations may be found on the DS website.

Enter the Semester:
Enter the year of the Semester:
First Name:
Last Name:
ASAP ID (example: @1234568):
Mailing Address:
City:
State:
Zipcode:
Home Phone Number (example: 210-123-4567):
Cell Phone Number (example: 210-123-4567):
Email Address:

Class Schedule Information should be entered as follows:

The Discipline is a two or three letter code for example: the discipline code for Biology is BIO.

The Course Number is a four digit code, for example: 1228.

The Section Number is a three digit code, for example: 001 or 901 .

In the Instructor field, enter the instructor's full name. If you do not know the instructor's full name, type in the last name or leave the field blank.

1. Discipline:	Course Number:	Section:	Instructor:
2. Discipline:	Course Number:	Section:	Instructor:
3. Discipline:	Course Number:	Section:	Instructor:
4. Discipline:	Course Number:	Section:	Instructor:
5. Discipline:	Course Number:	Section:	Instructor:
6. Discipline:	Course Number:	Section:	Instructor:
7. Discipline:	Course Number:	Section:	Instructor: