First-Time Request for CNM Disability Resource Services

* indicates a required field

Student Information

Please enter your information below to begin your request for disability services in CNM classes.

For assistance with completing this form, please view the support video[https://www.youtube.com/watch?v=BuqufDtSZ9s&feature=youtu.be] or call us at 505.224.3259.

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

CNM acknowledges that each person experiences their disability in a unique way and we use an interactive process to ensure that each eligible student receives the reasonable accommodations they require for access to education.  Your responses to the following questions are your opportunity to describe your disability, how it impacts you, and what types of barriers you may experience in your education.  Your responses, including uploaded disability documentation, are submitted to a DRC Academic Coach who will review your request and draft a Student Accommodation Statement (SAS) prior to meeting with you.  Incomplete responses may delay the evaluation of your application and your ability to receive disability-related services.  Please answer each question thoroughly so that your coach 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.

DRC Student Rights and Responsibilities, Confidentiality

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

DRC Student Rights and Responsibilities

Review the DRC Students Rights and Responsibilities website link above. 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 DRC Student Rights and Responsibilities.Required