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Online Student Application

Two easy steps to register
By submitting the Online ADA Student Application, I am requesting academic accommodations as an individual with a disability; as defined by Federal law. Accommodations are provided in accordance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990; as respectively amended.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 alpha numeric characters.
  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.
Permanent Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  2. Secondary Disability(ies)

    Cognitive

    General Category

    Hearing

    Medical

    Neurological

    Physical

    Psychological

    Speech/Language

    Visual

  6. Affiliation(s)
  7. Campus Location(s)

Questions

  1.  
    Please indicate student status with Columbia College: * (Selection is Required)
  2.  
    Please select the type of documentation you have:
  4.  
    Are you currently taking medications or participating in any treatment that has a negative impact on you? * (Selection is Required)
  5.  
    Did you have accommodations in high school?
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