Harrisburg Area Community College Student Access Services Intake Form

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Student Information

Please enter your information.
If you do not know your HACC ID, please type 123.

Additional Information

Is your primary disability temporary?Required
How does your disability impact you in the classroom? Please check all that apply.Required
Types of Disability Documentation
To receive accommodations through Student Access Services students must present documentation verifying their disability. If you have documentation you would like to upload now, please check the type of documentation you are uploading.
Upload supporting document(s)

Thank you for completing our public request form.

We will process your request as soon as possible. Someone will be in touch within two weeks.