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Online Student Application

Personal Information
  1. Hint: if you do not have a USU A-number leave blank.
  2. 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 your Email Address if you have one.
  1. Hint: Enter zipcode as 97331 or 97331-0000.


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    How did you learn about the Disability Resource Center? * (Selection is Required)
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