Pre-Registration Form

Student Information

Please enter your information

First Name

Last Name

Middle Name

Preferred Name

Pronouns

TU Student ID #

Please enter only your 9-digit NUMBER

Temple Email Address

Phone Number

Please list the best number where our staff can reach you.

Disability Information

Select all disabilities for which you are requesting accessibility accommodations.

If you have a mental or physical impairment lasting a semester or less, please select "temporary" and the type from the list.

Describe how your disability(ies) affects access to college programs and services.

Programs and services might include courses, events, or procedures.

Upload supporting document(s)

Documentation Guidelines are available here: https://disabilityresources.temple.edu/documentation

Accessibility Accommodation Information

Which academic accommodations would you like to request.

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If other, please specify

If this request for a temporary disability?

Do you need to request residential accommodations?

Do you need to request a meal plan accommodation or exemption?

Additional Comments

Pre-Registration Form

Student Information

Disability Information

Accessibility Accommodation Information

Document Information