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Online Student Application

Two easy steps to register
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 7 alpha numeric characters.
  4. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Secondary Disability(ies)

    Acquired Brain Injury/TBI

    ADD/ADHD

    Blind/Low Vision

    Deaf-Blind

    Deaf/Hard-of-Hearing

    Developmental Delay/Cognitive Impairment

    General Category

    Learning Disability

    Mobility

    Psychological

    Speech/Language Impairment

    Systemic/Chronic Health

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Please select accommodations and services that you have received prior to registering with our DSS office. This can be accommodations and services provided at your High School or other College/University. If there are none, please leave any selections blank

Prior Accommodations

Academic Accommodations
Technology
Please select services you are SEEKING to request with our office, and provide documentation for your eligibility

Requesting Accommodations at DSS

Technology
Questions
  1. What brings you to our office?
  2. Were you referred by someone?
  3. Please indicate the type and nature of disability you experience
  4. FUNCTIONAL LIMITATIONS: I have difficulty or may need assistance with
  5. How do you rate your own self-advocacy skills
  6. Have you used accommodations in the past?
  7. What is your understanding of how the accommodation process works? There are no wrong answers here.
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