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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: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  4. Hint: Enter 9 alpha numeric characters.
  5. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only (i.e. enter 9998888888 for 999 888 8888).
  2. Hint: Enter 10-digit number only (i.e. enter 9998888888 for 999 888 8888).
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Questions
  1. What is your Fordham status?*
  2. What is your Fordham college or school?*
  3. What is your degree program?*
  4. What campus do you attend/plan to attend?*
  5. Into which of the following categories does your disability or disabilities fall? You may select more than one:
  6. Does your disability affect you in an academic setting? If so, please explain.*
  7. What accommodations have you received in the past, either in high school or college?*
  8. List the disability-related accommodations you are requesting in a university-owned residential setting (e.g., strobe alarms, wheelchair accessible housing), if applicable. You will need to complete a Housing Medical Request form (found here: www.fordham.edu/info/20174/disability_services/400/accommodations) and submit by the appropriate deadline.*
  9. Describe auxiliary aids, assistive technology and/or services that you anticipate using while attending Fordham (e.g., FM system, wheelchair).*
  10. Please review ODS documentation guidelines at www.fordham.edu/info/20174/disability_services/398/eligibility and submit appropriate documentation for your disability. In addition, please submit copies of IEP/504 plans and/or testing. (Online submission using this site is a secure method of submitting documentation.) Please note that files must be 3MB or less in size.*
  11. I authorize ODS to discuss my documentation with the clinician who authored the documentation, or a similarly-qualified Fordham clinical staff person or consultant, if additional information or clarification is required.*
  12. By submitting this form, I certify that the information provided on this form is accurate. I understand that to be eligible to access accommodations at Fordham University I must (1) submit this completed form, (2) submit disability documentation that substantiates the requested accommodations, and (3) participate in an initial individual assessment with an ODS staff person.*
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