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Special Needs Seating Form

Commencement Committee
c/o Campus Life Office
Michael Lemieux, Chair
G-113 Williams Center
SUNY Fredonia
Fredonia, NY 14063
(716) 673-3143

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Request For Special Needs Seating for the Disabled

Name (print): ______________________________________________________________

Graduate's Name: _________________________________

Ceremony you will attend: morning________ afternoon ______

Telephone No. (with area code) ______________________

Address to Send Information: __________________________________________
__________________________________________________________________


Type of aid needed (please specify if wheelchair space is needed and for how many persons):
Wheelchair space ____ yes ____ (how many)
Scooter space ____ yes ____ (how many)

A sign language interpreter will be available.

Please send this form to Michael Lemieux, Commencement Committee Chair, Office of Campus Life, Williams Center, SUNY Fredonia, Fredonia, NY 14063 by Friday, May 2

 


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