Disability Services Application

By completing and signing this intake application, you are voluntarily disclosing a disability or disorder and requesting accommodations. Disclosure of your disability at this time does not necessarily confirm your eligibility status for services or accommodations. The verification process may take several weeks or longer, depending upon the appropriateness and currency of the documentation you have submitted.

In addition, all information submitted to this office is to be completely confidential and used only in connection with this institution's commitment and obligation to students with disabilities. Information may be shared in an emergency situation only.