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Online Student Application

Two easy steps to register. Step 1: Fill in Application. Step 2: Submit Documentation
Please allow enough time to complete the following form. Some questions will require short answer responses.

Contact the Disability Resource Center (DRC) at (702) 895-0866 or via email at drc@unlv.edu if you require assistance completing this application.

Thank you.
Personal Information
  1. Note: Select when you would like to start your services.
  6. Hint: If you do not have an NSHE number, enter your 10-digit telephone number without dashes.
  7. 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: If you do not have a UNLV-issued email address, enter an alternative email address.
Additional Information
  2. Secondary Disability(ies)

    ADD/ADHD

    Allergies/Environmental Illnesses

    Autism Spectrum Disorder

    Cognitive

    Gastrointestinal Disorders

    General Category

    Hearing

    Immune Deficiencies

    Intellectual Disability

    Learning Disability

    Metabolic Disorders

    Neurological

    Other Health Related

    Physical

    Psychological

    Speech/Language

    Substance Abuse

    Temporary

    Visual

  4. Affiliation(s)
  5. Campus Location(s)
Questions
  1.  
    Are you admitted to UNLV? * (Selection is Required)
  2.  
    Are you a returning student? * (Selection is Required)
  3.  
    Will you be under 18-years old when you start classes? * (Selection is Required)
  4.  
    Please indicate your academic status. * (Selection is Required)
  5.  
    Do you have disability-related documentation from a licensed professional? * (Selection is Required)
  6.  
    What are your housing arrangements? * (Selection is Required)
  7.  
    Are you requesting disability-related housing accommodations? * (Selection is Required)
  8.  
    Do you use any of the following mobility aids on campus? (Select all that apply):
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