Skip to Main Content Skip to Tabs Skip to Sub-Tab Navigation

Accommodation Request Form

Two easy steps to register
The focus of the Office of Accessibility Services (OAS) is to provide all students with disabilities an equitable opportunity to participate freely and actively in all areas of college life.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 7 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.
Additional Information
  1. Secondary Disability(ies)

    ADHD/ADD

    Autism Spectrum Disorders (ASD)

    Learning Disability

    Physical

    Psychological Condition

    Sensory Conditions

    Unknown

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Questions
  1. For what areas do you plan to utilize accommodations? * (Selection is Required)
Licensed to Accessible Information Management LLC Copyright © 2010-2021 by Haris Gunadi. All rights reserved.