Mount Saint Mary College
Services for Students with Disabilities
330 Powell Avenue
Newburgh, NY 12550
Phone: 845-569-3115 Fax: 845-569-3135
Information and Accomodations Request Form
Indicates Required Fields)
What is your disability?
What disability accommodations are you requesting?
By pressing "Submit Request," I affirm that I have read and understand the MSMC policies and procedures regarding disability
accommodations. I understand that the MSMC Services for Students with Disabilities office may need to contact the
doctor or the other professionals who have provided documentation pertaining to my disability status or accommodations
as explained in the MSMC policies and procedures for requesting accommodations.