Accomodation Request Lincoln University provides assistance to students with disabilities. Documentation of disability needs to be on file with our office before the requests can be granted. The information needs to be comprehensive which clearly describes your disablility and must be diagnosed by the appropriate professional. In addition, recommendations or accommodations should be outlined in the documentation. The documentation may be returned with this form to expedite requests. All information is kept confidential. If you require special accommodations upon entering the University, please submit the requested information and return the form and documentation IMMEDIATELY to: Cynthia L. Washington, Coordinator for Disabilities Services Counseling and Career Office 816 Chestnut, 304 Founders Hall Lincoln University Jefferson City, MO 65101 NAME: SSN#: ADDRESS: CITY: STATE: ZIP: PHONE: MAJOR (IF DECIDED): SEMESTER OF ENROLLMENT   (w/LU ) SEMESTER OF ENROLLMENT   (w/ADA) ACCOMODATION REQUESTS:     SIGNATURE