Request for Accommodation Form

Use this form to request services each quarter. If you are a new DRC student, you must submit an Intake Form and have an Intake meeting before submitting this form.
  • General Information

    Please note that all items marked with an asterisk are required.
  • Name * Required
  • Last Quarter

  • Updated Information

  • Name
  • Address
  • Allow a minimum of 48 hours for your request to be processed

    Please obtain a copy of your class schedule. Schedules can be retrieved on the Bellevue College Web site, or at the student kiosk at the Student Services Center next to the Bookstore.
  • This field is for validation purposes and should be left unchanged.

Last Updated June 30, 2014