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Online Student Application

Two easy steps to register
Welcome to the Center for Accessible Resources' (CAR) online student application.

Please note that by completing this form you are giving consent for CAR to share pertinent information regarding your accommodations with Lane Community College Faculty and Staff involved with your educational program. Sharing information is intended to assist others in understanding and supporting your request(s) for accommodations, health and safety, and to create effective strategies for the provision of accommodations and academic success. This consent can be revoked at any time by contacting the Center for Accessible Resources.

No accommodation or affiliation with the Center for Accessible Resources (CAR) is required for the use of a Service Animal.

It is a policy of the state Board of Education and a priority of the Oregon Department of Education that there will be no discrimination and harassment on the grounds of race, color, sex, sexual orientation, marital status, religion, national origin, age, or disability in any educational programs, activities or employment. Inquiries may be directed to the Chief Human Resource Officer, (541) 463-5115.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter L#
  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.
Additional Information
Questions
  1.  
    How did you hear about CAR?
  2.  
    I give CAR permission to call and leave a message * (Selection is Required)
  4.  
    Challenges - Check issues that are challenging to you:
  6.  
    Will you need an ASL interpreter during appointments with our office? * (Selection is Required)
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