Skip to Main Content
Skip to Tabs
Skip to Sub-Tab Navigation
Sign In
Page Tabs
Home
You are here:
Home
Online Student Application
Online Student Application
Page Options
Welcome To the Disability Services Registration Site. Please complete the requested information as completely as possible.
**
ASSISTANCE WITH VOTER REGISTRATION
**
https://www.latech.edu/documents/2018/05/voter_declaration.pdf/
By submitting an application I understand information provided to the Department of Testing & Disability Services and/or portions of this information may be disseminated only to certain authorized individuals or departments of Louisiana Tech University on an as needed basis to provide accommodations, otherwise this information shall be kept strictly confidential.
MUST ENTER VALID TECH EMAIL AND STUDENT ID NUMBER
Personal Information
Start Term
*
:
Select One
2025 - Winter
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Winter
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Winter
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Winter
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Winter
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Winter
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Winter
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Winter
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Winter
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Winter
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Winter
2035 - Spring
2035 - Summer
2035 - Fall
2036 - Winter
2036 - Spring
2036 - Summer
2036 - Fall
2037 - Winter
2037 - Spring
2037 - Summer
2037 - Fall
2038 - Winter
2038 - Spring
2038 - Summer
2038 - Fall
2039 - Winter
2039 - Spring
2039 - Summer
2039 - Fall
2040 - Winter
2040 - Spring
2040 - Summer
2040 - Fall
2041 - Winter
2041 - Spring
2041 - Summer
2041 - Fall
2042 - Winter
2042 - Spring
2042 - Summer
2042 - Fall
2043 - Winter
2043 - Spring
2043 - Summer
2043 - Fall
2044 - Winter
2044 - Spring
2044 - Summer
2044 - Fall
2045 - Winter
2045 - Spring
2045 - Summer
2045 - Fall
2046 - Winter
2046 - Spring
2046 - Summer
2046 - Fall
2047 - Winter
2047 - Spring
2047 - Summer
2047 - Fall
2048 - Winter
2048 - Spring
2048 - Summer
2048 - Fall
2049 - Winter
2049 - Spring
2049 - Summer
2049 - Fall
2050 - Winter
2050 - Spring
2050 - Summer
Note: Select when you would like to start your services.
Expected Graduation Term:
Select One
2009 - Fall
2010 - Winter
2010 - Spring
2010 - Summer
2010 - Fall
2011 - Winter
2011 - Spring
2011 - Summer
2011 - Fall
2012 - Winter
2012 - Spring
2012 - Summer
2012 - Fall
2013 - Winter
2013 - Spring
2013 - Summer
2013 - Fall
2014 - Winter
2014 - Spring
2014 - Summer
2014 - Fall
2015 - Winter
2015 - Spring
2015 - Summer
2015 - Fall
2016 - Winter
2016 - Spring
2016 - Summer
2016 - Fall
2017 - Winter
2017 - Spring
2017 - Summer
2017 - Fall
2018 - Winter
2018 - Spring
2018 - Summer
2018 - Fall
2019 - Winter
2019 - Spring
2019 - Summer
2019 - Fall
2020 - Winter
2020 - Spring
2020 - Summer
2020 - Fall
2021 - Winter
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Winter
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Winter
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Winter
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Winter
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Winter
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Winter
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Winter
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Winter
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Winter
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Winter
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Winter
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Winter
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Winter
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Winter
2035 - Spring
2035 - Summer
2035 - Fall
2036 - Winter
2036 - Spring
2036 - Summer
2036 - Fall
2037 - Winter
2037 - Spring
2037 - Summer
2037 - Fall
2038 - Winter
2038 - Spring
2038 - Summer
2038 - Fall
2039 - Winter
2039 - Spring
2039 - Summer
2039 - Fall
2040 - Winter
2040 - Spring
2040 - Summer
2040 - Fall
2041 - Winter
2041 - Spring
2041 - Summer
2041 - Fall
2042 - Winter
2042 - Spring
2042 - Summer
2042 - Fall
2043 - Winter
2043 - Spring
2043 - Summer
2043 - Fall
2044 - Winter
2044 - Spring
2044 - Summer
2044 - Fall
2045 - Winter
2045 - Spring
2045 - Summer
2045 - Fall
2046 - Winter
2046 - Spring
2046 - Summer
2046 - Fall
2047 - Winter
2047 - Spring
2047 - Summer
2047 - Fall
2048 - Winter
2048 - Spring
2048 - Summer
2048 - Fall
2049 - Winter
2049 - Spring
2049 - Summer
2049 - Fall
2050 - Winter
2050 - Spring
2050 - Summer
Note: Select when you plan to graduate.
First Name
*
:
Last Name
*
:
Middle Name:
Optional: Preferred Name:
Student ID
*
:
Hint: Enter 8 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender
*
:
Select One
Female
Male
Not Specified
transgender
Contact Information
Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
LATech Email Address
*
:
Local Address
Address
*
:
City
*
:
State
*
:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Wyoming
International
Zipcode
*
:
Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
Same as Local Address
Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Wyoming
International
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
Primary Disability
*
:
Select One
=== General Category ===
ADD
ADHD
ADHD-I
Asthma
Auditory Processing D/O
Autism Spectrum Disorder (Asperger's)
Bipolar
Blind
Cerebral Palsy
Color Blind
Crohn's Disease
Cystic Fibrosis
Deaf or Hard of Hearing
Depression
Diabetes
Dysgraphia
Dyslexia
Dyslexia/Dyscalcula
E/S Animal
Epilepsy
GAD (Anxiety)
GAD, OCD
Hodgkins Lymphoma
LD-NOS
Math D/O
Medical
Medical/Physical
Migraines
Multiple Sclerosis
Muscular Dystrophy
Narcolepsy
Other
Panic Disorder
Physical
PTSD
Reading D/O
Reading D/O, Writing D/O
Rheumatoid Arthritis
Schizophrenia
See File
Speech
Temporary
Tourettes
Ulcerative Colitis
Visually Impaired
Secondary Disability(ies)
General Category
ADD
ADHD
ADHD-I
Asthma
Auditory Processing D/O
Autism Spectrum Disorder (Asperger's)
Bipolar
Blind
Cerebral Palsy
Color Blind
Crohn's Disease
Cystic Fibrosis
Deaf or Hard of Hearing
Depression
Diabetes
Dysgraphia
Dyslexia
Dyslexia/Dyscalcula
E/S Animal
Epilepsy
GAD (Anxiety)
GAD, OCD
Hodgkins Lymphoma
LD-NOS
Math D/O
Medical
Medical/Physical
Migraines
Multiple Sclerosis
Muscular Dystrophy
Narcolepsy
Other
Panic Disorder
Physical
PTSD
Reading D/O
Reading D/O, Writing D/O
Rheumatoid Arthritis
Schizophrenia
See File
Speech
Temporary
Tourettes
Ulcerative Colitis
Visually Impaired
Other Disability or Note:
Seeking Degree:
Select One
Associate
Master Degree
Ph.D. Degree
Post Baccalaureate
Undergraduate
Major:
Select One
Accounting
Agricultural Business
Animal Science
Applied Physics
Architecture
Art
Art-Communication Design
Art-Studio
Audiology
Aviation
Aviation Management
Biology
Business Administration
Business-Economics
Chemistry
Communication
Computational Analysis & Modeling
Computer Information Systems
Computer Science
Counseling & Guidance
Curriculum & Instruction
Cyber Engineering
Early Childhood Education
Education Leadership
Electrical Engineering
Electrical Engineering Technology
Elementary & Special Education
Elementary Education
Engineering
Engineering - Biomedical
Engineering - Chemical
Engineering - Civil
Engineering - Construction Technology
Engineering - Industrial
Engineering - Mechanical
Engineering - Microsystems
Engineering - Nanosystems
Engineering and Technology Management
English
Environmental Science
Family & Child Studies
Fashion Merchandising & Retail
Finance
Forestry
French
General Studies
Geographic Information Science (GIS)
Health & Phys. Education
Health Informatics
Health Informatics & Information Systems (HIIM)
History
Industrial/Organizational Psychology
Interior Design
Kinesiology
Kinesiology & Health Promotion
Management
Marketing
Mathematics
Medical Technology
Middle School Education
Modern Languages
Molecular Science & Technology
Music
Nursing
Nutrition & Dietetics
Organizational Leadership
Other
Physics
Political Science
Psychology
Psychology - I/O
Secondary Education
Sociology
Spanish
Special Education
Speech
Speech Pathology
Speech-Language (Pre-Prof.)
Supply Chain Management
Theater
Affiliation(s)
Affiliation(s)
Distance Education
Division of Vocational Rehabilitation (LRS)
Louisiana Center for the Blind
Veterans
Ethnicity(ies)
Ethnicity(ies)
African-American
Asian or Pacific Islander
Caucasian
Hispanic
Multi-Racial
Native American
Other
Campus Location(s)
Campus Location(s)
Barksdale Campus (Bossier City)
Main Campus (Ruston)
Online program
Additional Note:
Please select services you are SEEKING to request with our office, and provide documentation for your eligibility
Access Key to Eligibility Section is "G"
Requesting Accommodations at TDS
Alternative Testing
Assistance w/Scantrons or exempt
Distraction reduced testing site
Enlarged handouts/Exams
Extra Time 1.50x
Reader-Exams read aloud or audio format (BY APPOINTMENT)
Spell Checker
Alternative Formats
E-Text
Deaf and Hard of Hearing
Accessible Audio/Video Materials
Alternative Learning Device
Interpreting
Classroom Accommodations
Assistance with notes (Instructor or classmate)
Classroom Relocation or elevator access. *Notice required.
Consideration for calculator
Consideration for classroom breaks
Consideration for use of assistive technology
Consideration for use of laptop as appropriate
Extra Time (1.5x) & Distraction reduced environment for: EXAMS, Quizzes, and In-Class Assignments.
Modified desk (wheelchair access)
Preferential Seating
Service Animal (Contact TDS)
Wheelchair Access
Housing request
Emotional support animal (REQUIRES PRIOR APPROVAL)
Housing request
Questions
Are you an incoming freshman, current undergraduate, or graduate student?
Incoming freshman
Freshman
Sophomore
Junior
Senior
Graduate student
Additional Note or Comment
Do you require special housing needs? Please explain. *Note certain diagnoses such as ADHD may not qualify for private rooms, etc.
*
(Selection is Required)
Yes
No
Additional Note or Comment
Please review our documentation requirements found on our website www.latech.edu/tds. Be sure to click and expand each section. You can upload your documentation to this application once it is complete, or you can scan and email your documentation to tds@latech.edu.
I will review the documentation requirements on the TDS website.
Additional Note or Comment
Are you registered to vote? (State required question)
*
(Selection is Required)
Yes
No
Additional Note or Comment
Would you like to register to vote? (If YES, please schedule an appointment with Disability Services at TDS@latech.edu or 257-4221 for assistance)
*
(Selection is Required)
Yes
No
Additional Note or Comment
Navigation
Home
Online Services Home
Reset My Password
Licensed to
Accessible Information Management LLC
Copyright © 2010-2024 by Haris Gunadi. All rights reserved.