Which group best describes your affiliation with MSUM:
Student Faculty/Staff Visitor
Which general disability group does the barrier to access pertain to:
mobility-wheelchair user mobility-other than wheelchair deafness blindness other
Which campus facility are you referencing:
Ballard Hall Bridges Hall Center for Business Comstock Memorial Union Dahl Hall Foundation Annex Frick Hall Grantham Hall Grier Hall Hagen Hall Heating Plant Hendrix Health Center Higher Ed Center John Neumaier Hall Holmquist Hall King Biology Hall Kise Commons Livingston Lord Library Lommen Hall Maclean Hall Maintenance/Physical Plant Building Murray Commons Nelson Hall Nemzek Hall Owens Hall Roland Dille Center for the Arts Science Lab Building Security/Police Station Weld Hall OTHER
If other, please specify:

Describe the access barrier:

Suggest a means of rectifying the problem:

Contact Information (to be used only if a follow up is needed):
Name:
E-mail:
Phone: