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Online Housing 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 9 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. Campus Location(s)

Questions

  1.  
    What is your current university classification? * (Selection is Required)
  2.  
    Are you or will you be a member of a UM athletic team? If so, please state which sport. * (Selection is Required)
  3.  
    What is your military status? * (Selection is Required)
  4.  
    How did you hear about disability services?
  5.  
    Are you living on campus now or will you be living on campus after enrollment? * (Selection is Required)
  6.  
    Does your disability impact you in educational environments? * (Selection is Required)
  7.  
    Please indicate the general area(s) of your disability or diagnosis. Check all that apply. Please provide specific diagnosis below.
  8.  
    What Specific Housing Accommodations have you previously been approved for?
  9.  
    Please detail the necessary/requested Housing or non-Academic Accommodations you are requesting below:
  10.  
    Does your disability or medical condition create dietary or meal plan restrictions. If so, please describe below. * (Selection is Required)
  11.  
    Do you require assistive technology or equipment (magnification, assistive listening device, laptop, etc.)? If so, please describe below * (Selection is Required)
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