La Plata Campus
Christina Centineo, M.Sc.
Coordinator, ADA
301-934-7614
Crcentineo@csmd.edu
Antonia Davis
Administrative Assistant
301-539-4720
asdavis@csmd.edu
Additional Disability Forms
Additional Forms
In addition to the general request forms, there may be other forms you will need to fill out to receive certain services. You can download these using the links below. However, we do not recommend that you download them unless you have been advised to do so by DSS staff. Save a tree; don't print it unless you are sure you'll need it!
- Request Form for Accessible Furniture for Classroom
- Test Accommodations Request Form
- Request Form and Procedure for Text/Books in Alternate Format
- Request Form for Scribe
- Request Form for Interpreter
- Request Form for Interpreter (Staff)
- Emergency Guidelines for Individuals with Disabilities and Registration Form
Contact Us
Leonardtown Campus
Rhonda M. Crockett, M. Ed.
DSS Coordinator
240-725-5420
rmcrockett@csmd.edu