Student Inquiry

Center for Disability Services

Student Inquiry Form

Below you will find the form fields for the Student Inquiry Web Form. Please fill out all fields and use the submit button at the end in order to ensure that your form is submitted properly. If you have any questions, comments, or concerns, please contact us at cds@aum.edu or call (334) 244-3631. Thank you!

Primary Information

S-Number

If applicable (S numbers are issued to currently enrolled AUM students)

Application Date

First Name

Middle Name or Initial

Last Name

Date of Birth

Contact Information

Street Address

City

State

Zip Code

Country

Telephone Number

Email Address

Accommodation Details

Are you an AUM student?

If "No", then your anticipated enrollment date?

What is your disability?

What accommodations are you requesting?

What accommodations have you received in the past?

Are you currently a client of Vocational Rehabilitation (VR)?

If you are a VR client, please list your counselors contact information

American Recovery
& Reinvestment Act

Student Inquiry Form

Primary Information

Contact Information

Accommodation Details

Who Are You?

Quicklinks

Admissions