Please fill out this form if you have a disability so we can help you in an emergency.
The purpose of this form is to provide information regarding persons with special needs to first responders in the event of an emergency. Submitting this form does not guarantee the execution of each specific request articulated below. MSM makes every effort to maintain the confidentiality of information disclosed in this form. MSM encourages community members with special needs to create a Personal Emergency Plan – a plan for what they will do in the event of an emergency.
The School recognizes that individuals with disabilities may require assistance with alerting, evacuating, and sheltering in the event of an emergency. The School therefore asks all individuals who may need assistance in an emergency to consider all or some of the following options for preparing for an emergency:
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