First-Time Request for CNM Accessibility Services

View the following video on how to complete this request form if you need assistance: https://www.youtube.com/watch?v=BuqufDtSZ9s
After completing the form, Accessibility Services will review your request and email your CNM email account to either request more information or to schedule your appointment. Please check your CNM email regularly.
* indicates a required field

Student Information

Complete this form to begin your request for accessibility services in CNM classes.  Be as thorough as you can-- your description of your experience is our most important source of information.  If you don't know what to say, provide examples from your experience that help us understand how your disability impacts you.

For assistance, please view the support video[https://www.youtube.com/watch?v=BuqufDtSZ9s&feature=youtu.be], email DRCStart@cnm.edu, or call us at 505.224.3259.

If you need help filling out the form due to your disability, we are available to help you complete it!

date of birthRequired
Nine-digit CNM ID number (010XXXXXX) if you have applied to CNM
If you have a CNM email address (username@cnm.edu), please use it.
Include area code

Education History

Are you currently a high school student?Required
Are you now or were you ever in Special Education?Required
Did you have an IEP, 504 plan, Special Ed classes, or any other Special Education services in K-12?
Are you taking/have you taken classes from a college or university other than CNM?Required

Tell Us About Your Disability

If you selected "disability" or "pregnancy" options to the early confirmation question, you will receive additional questions below that must be completed.

Each person experiences their disability in a unique way. We use an interactive process to ensure that each eligible student receives the reasonable accommodations they require for access to education.  Your responses below are the first step in the interactive process where you get to describe your disability, how it impacts you, and what types of barriers you may experience in your education. 

Incomplete responses may delay the evaluation of your application and your ability to receive disability-related services.  Please answer each question thoroughly so that we can assist you in a timely manner.

Accessibility Services Student Rights and Responsibilities, Confidentiality

Please read and indicate your acknowledgement below.
I acknowledge that CNM staff may follow up with me for more information after submitting this request.Required
I commit to responding to CNM Staff in a timely manner so my request can be processed accordingly.