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 contact you through 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

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.

Include the name/diagnosis of any disabilities you experience.  "Disability" means a physical or mental impairment that substantially limits one or more major life activities.

Examples of impacts to major life activities include but are not limited to: Caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, sitting, reaching, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, writing, communicating, interacting with others, and working.
Examples include but are not limited to: navigating campus, taking tests, completing coursework, participating in class, reading texts, using technologies, and taking notes.
Examples of accommodations include, but are not limited to: signed language interpreters, alternative format textbooks, class materials produced in braille, testing accommodations, ergonomic/adaptive furniture.
Upload supporting document(s)

Upload documentation related to your disability diagnoses. Examples of documentation are IEP/504 plan, diagnostic testing, letters from health care provider, or other information.

If you are unable to upload documentation at this time, email it to DRC@cnm.edu, fax to 505.224.3261, or call 505.224.3259 to schedule a time to bring it in person (very limited drop-off time available during remote operations).

If you do not upload documentation or provide it to the DRC within 2 days, it may delay your ability to receive services or we may reach out to you for more information. 

Documentation Delivery ConfirmationRequired

Were you able to attach your document above?  If no, we may reach out to assist you or you are welcome to contact us at drc@cnm.edu or 505.224.3259 to submit your documents.

Accessibility Services Student Rights and Responsibilities, Confidentiality

Please read and indicate your acknowledgement below.
Student Rights and Responsibilities

Accessibility Services Student Rights and Responsibilities

Review the Accessibility Services Students Rights and Responsibilities website, by clicking on the link above and selecting "Student Rights and Responsibilities". Clicking the link will open the information in a new window.  After reading, please click below to acknowledge that you have read and understand the information. 

I acknowledge that I have read Accessibility Services Student Rights and Responsibilities.Required
I acknowledge that Accessibility Services may follow up with me for more information after submitting this request.Required
I commit to responding to Accessibility Services in a timely manner so my request can be processed accordingly.