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

Online Student Application

Two easy steps to register
Please complete this form to request disability related accommodations. Students are also encouraged to complete the ODS Student Self-Assessment form prior to meeting with ODS so that we can get a better understanding of your needs, interests, and strengths.

The information that you provide regarding any accommodation request will be shared only with those individuals involved in the coordination and facilitation of accommodations required to make our programs accessible to you. The College reserves the right to request current documentation of disabilities prior to the determination and facilitation of appropriate accommodations.

This form and the ODS Self-Assessment form should be filled out by the student making the accommodation request.

Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA).
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 8 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)

    Chronic/Acute Health

    Deaf/Hearing

    General Category

    Learning Disability

    Mental Health

    Mobility

    Neurological

    Speech or Language Impairment

    Visual Impairment

  2. Affiliation(s)
  3. Campus Location(s)

Questions

  1.  
    How did you hear about disability resources?

Licensed to Accessible Information Management LLC Copyright © 2010-2024 by Haris Gunadi. All rights reserved.