Self-Identification Application

Please fully complete the following form and return it to Disability Accommodation Specialist as soon as possible.

In applying for the Navajo Technical University Disabilities Accommodation Services, I understand the explanation of the American with Disabilities Act (ADA) under section 504 Rehabilitation Law. TITLE II prohibits discrimination on the basis of disability; and I understand that I am eligible to receive services while attending NTU as a full-time or half-time student. I also agree that all of my records obtained by the Navajo Technical University shall be used only for my education for the purpose of getting Academic accommodations assistance in compliance to the FERPA/ Confidentiality law.