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Online Student Application

Two easy steps to register
Welcome! Please complete the form below in it's entirety. This is the first step to registering with DSS and 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).
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter A and 8 numbers.
  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.
Please check all the accommodations you are requesting at UAH.

Requesting Accommodations at DSS

Alternative Testing
Alternative Formats
Classroom Access
Notetaking Technology

Questions

  1.  
    How did you hear about Disability Support Services?
  3.  
    Are you currently under the care of a licensed professional? * (Selection is Required)
  7.  
    Did you receive academic accommodations prior to coming to UAH? If yes, list the accommodations were most helpful to you. * (Selection is Required)

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