Glendale Community College

Procurement

ADA Furniture Request Form

Campus Requesters: Use this form to initiate the request for furniture accommodations for disabled students in accordance with ADA requirements. This form will be used as a basic tool to gather information. Your submission will be forwarded to the Furnishings Management team and Disability Services & Resources.

Date    
Requester
Department
Phone
Furniture Requested


Separate Table & Chair
Other (please describe below)

Other Accommodations
(please describe)


Office or Classroom Location (Building)
Office or Classroom Location (Room)
Date Needed

Glendale Community College • 6000 West Olive Avenue • Glendale Arizona 85302 • 623-845-3000
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