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Online Student Application

Two easy steps to register
Welcome to the Office of Student Access' Accommodation Request System.

Please complete the form below in it's entirety. This will help us serve you better!

Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA). For more information on FERPA, please consult the Student Handbook.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 9 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
  2. Secondary Disability(ies)

    ADD/ADHD

    General Category

    Learning Disability

    Mental Health

    Physical

  5. Affiliation(s)
  6. Ethnicity(ies)
  7. Campus Location(s)

Questions

  5.  
    Did you have accommodations on any standardized tests/entrance exams (i.e., ACT, SAT, LSAT, GRE, etc.)? * (Selection is Required)
  6.  
    Have you had accommodations from a previous school, college, and/or university? * (Selection is Required)
  9.  
    I confirm that I completed this application on my own. * (Selection is Required)
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