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Online Student Application

Two easy steps to register
Welcome to Northwest College! You have taken the first in a series of steps that can potentially lead to access-enhancing experiences at Northwest College. If you intend to self-identify and make further contact with Disability Support Services, please read the following Registration Agreement.

Registration Agreement

I understand that admission the Northwest College is a separate process.

I understand that I must schedule an appointment online or by phone with the Disability Support Services Coordinator.

I understand that submitting this form does not automatically qualify me for accommodations and/or services.

I understand that if I request Disabilities Support Services to facilitate accommodations on my behalf, they may need to consult with other College personnel. I give my permission to have disability related information shared with appropriate College personnel (i.e., Office of Student Financial Aid, Academic Advisement, the TRiO Program, and/or appropriate faculty) to facilitate such requests.

Please carefully read and answer each selection below
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 alpha numeric characters.
  8. 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
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Disabilities

    ADHD

    Auditory Processing

    General Category

    Learning Disability

    Mobility Disorders

    Psychological Disabilities

    Vision

  5. Affiliation(s)
Please select accommodations and services that you have received prior to registering with our Disability Support Services. This can be accommodations and services provided by your High School or other College/University. If there are none, please leave any selections blank

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Assignments
Notetaking Services
Classroom Access
Housing and Food Services

Requesting Accommodations at AIM

Alternative Formats

Questions

  1.  
    How do you rate your self-advocacy skills?
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