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Online Student Application

Two easy steps to register
Please fill out the application form the best you can. If you are unsure of some information you may skip it and it can be covered in your intake appointment. This is the first step, you will be contacted via your Patriot Email after your application is reviewed and asked to make an intake appointment to complete the eligibility process.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 10 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)

    Chronic Illness

    Cognitive Impariment

    Deaf/Hard of Hearing

    General Category

    Learning Disorder

    Neurological

    Physical Dexterity

    Physical Mobility

    Psychological Disorder

    Speech/Language

    Visual

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Check the accommodations or modifications you have previously received in school or college:

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Notetaking Services
Classroom Access
ONLINE Course Accommodations
Univeristy Academy Testing
Houston Campus
LAB Course
Check the accommodations you are requesting here on the Univeristy of Texas at Tyler campus:

Requesting Accommodations at SAR

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Classroom Access
Housing Accommodations
ONLINE Course Accommodations
Longview Campus
Houston Campus
Palestine Campus
LAB Course
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