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Online Student Application

Two easy steps to register
Please allow enough time to complete the following form. Some questions will require short answer responses.

After completion, please follow up with the Disability Resource Center with required documentation of disability.

If you require any assistance with completing this application, please contact the Disability Resource Center (DRC) at (702) 895-0866 or via email at

Thank you.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Hint: If you do not have an NSHE number, enter your 10-digit telephone number without dashes.
  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.
  3. Hint: If you do not have a UNLV-issued email address, enter an alternative email address.
Additional Information
  1. Affiliation(s)
  2. Campus Location(s)
  1. Are you admitted to UNLV? *
  2. Are you a returning student? *
  3. Will you be under 18-years old when you start classes? *
  4. Please indicate your academic status. *
  5. Are you a client of vocational rehabilitation (DETR)? *
  6. Please identify your primary disability. *
  7. Please identify any secondary disability.
  8. Do you have disability-related documentation from a licensed professional? *
  9. Do you use any of the following mobility aids on campus? (Select all that apply):
  10. Do you plan on living on campus? *
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