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Online Student Application

Two easy steps to register
Please note that your request for services will not be reviewed until a completed application and documentation are received by the DSS office. Documentation and evaluation information will not be released without the signed consent of the student or under compulsion of legal process.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Hint: Enter 9 alpha numeric characters.
  3. 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.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Affiliation(s)
  2. Ethnicity(ies)
  3. Campus Location(s)
Questions
  1. I understand that in order for the DSS office to verify my disability DSS must obtain pertinent student evaluations, psychological reports, transcripts, and medical reports. I understand that no one other than DSS personnel has immediate access to my DSS files, and that any information regarding my disability shall be considered confidential and will only be shared with on a need-to-know basis. *
  2. How did you learn about DSS services?
  3. What is the best way to contact you?
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