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Online Student Application

Two easy steps to register
Welcome to AIM, the information management system for the Accessible Learning Center (ALC). Please complete the form below in its 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 visit: https://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  6. Hint: Enter 9 alpha numeric characters.
  7. 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)

    Autism Spectrum Disorder

    Emotional or Behavioral Impairment

    General Category

    Hearing Impairment (Deaf/Hard of Hearing)

    Mobility/Physical/Orthopedic Impairment

    Other Health Impairment

    Specific Learning Impairment

    Speech/Language Impairment

    Traumatic Brain Injury

    Visual Impairment

  5. Affiliation(s)
  6. Ethnicity(ies)

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