Disability Disclosure Form










Disability Status

A disabled person is anyone who: (1) has a physical or mental impairment which substantially limits one or more of the major life activities; (2) has a record of such impairment; (3) is regarded as having such an impairment. Please check beside any disability which applies to your situation.

Disability



 

Office of Institutional Equity
and Compliance
1301 East Main Street
116 Cope Administration Building
Murfreesboro, TN 37132

615-898-2185 Phone
615-904-8041 Fax

safe zone logo