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Online Student Application

Two easy steps to register
Welcome to the Disability Resource Center at Salisbury University!

The Disability Resource Center provides guidance, access to resources, and accommodations/services to students with documented disabilities at Salisbury University! Please complete the application in it's entirety, as the information provided will help us to better understand your strengths, challenges, and the likely impact on your educational experiences at SU.

Next steps for students requesting academic and housing accommodations
1. After submitting your application, you will be taken to a second page to upload your disability documentation. (Note: your application confirmation email will also include a link for submitting documentation at a later time if needed.) Important: Your application will not be complete and cannot be processed until you have submitted your disability documentation.

2. Schedule and attend your Initial Intake Appointment: Upon receipt of your completed application and sufficient documentation, a DRC staff member will contact you (via email) to assist with scheduling your Initial Intake Appointment. Note: Accommodations cannot be requested or used until after you have scheduled and attended the required initial intake appointment.

Next steps for students requesting temporary accommodations (which includes requests for parking and dining accommodations)
1. After submitting your application, you will be taken to a second page to upload your disability documentation. (Note: your application confirmation email will also include a link for submitting documentation at a later time if needed.) Important: Your application will not be complete and cannot be processed until you have submitted your disability documentation.

2. A DRC staff member will follow up with you regarding the next steps/additional instructions.

Note: Students are strongly encouraged to upload their disability documentation while completing their applications. Documentation can also be submitted via email: disabililitysupport@salisbury.edu, fax: (410) 543-6088, or hand-delivered to the DRC.

If you have any difficulties or questions related to submitting your application or uploading files, please contact the Disability Resource Center at (410) 543-6087 or disabilitysupport@salisbury.edu

For additional information on requesting accommodations, please visit: www.salisbury.edu/drc
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.
  3. Hint: Please enter your SU-issued email address 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
  5. Ethnicity(ies)

Questions

  1.  
    Have you ever used accommodations/services in the past (while attending high school and/or at a previous college/university).? If yes, please describe which accommodations you utilized in the text box below. * (Selection is Required)
  3.  
    Which accommodation type(s) would you like to request? (Please select all that apply) * (Selection is Required)
  4.  
    Do you currently utilize any of the following services below? * (Selection is Required)
  6.  
    Please let us know if you identify with any of the following groups. (Select all that apply) * (Selection is Required)
  7.  
    Would you like specific information/referral to any of the following campus resources? (Check all that apply)
  8.  
    Are you interested in participating or receiving information about any of the following DRC services/programs?
  9.  
    How did you hear about the Disability Resource Center? * (Selection is Required)

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