Kent State Stark Referral System Accessibility Services

ADVISING REFERRAL FORM - STUDENT ACCESSIBILITY SERVICES

Welcome to the online referral system for Student Accessibility Services at Kent State University at Stark.

If you required additional assistance after submitting this form, contact:

Darcy McBride
Academic Services Coordinator
starksas@kent.edu
330-244-5047

Please complete all fields to submit your referral.

Your Information:

First Name:

Last Name:

Kent State Email:

Student Information:

Student First Name:

Student Last Name:

Kent State ID Number:

Kent State Email:

Reason for Referral: