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ADA Reasonable Accommodation Request Form

IREM provides students with reasonable accommodations in accordance with the ADA/Section 504 and applicable state law. Students with disabilities may request academic accommodations by completing this form.  To ensure that all requests are reviewed and implemented in a timely manner, please submit this form at least 10 business days (5 business days for the MPSA) in advance of your exam or course date.

If you are submitting an accommodation request for a certification exam (ACoM, ARM, CPM, MPSA), please schedule your exam session through ProctorU before completing this form. For information on scheduling your exam view our  Live Online Proctoring page.

Contact us at getinfo@irem.org or (800) 837-0706 for questions.

Todays date (please complete this form 10 business days (5 business days for the MPSA) prior to your exam or course):
Name (please enter your full name):
Email address (please use your email address used to create your ProctorU account):
Exam or course you are taking:
Please indicate what type of course this is:
Date of your exam or course (For proctored exams, please schedule your exam with our live online proctor prior to submitting this form):
Please select the accommodation you are seeking to acquire:
If the accommodation you are seeking is not listed above, please contact us at: getinfo@irem.org.

 

Signature (type your name):
 
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