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Online Student Application

Two easy steps to register
Welcome to Cambridge College Office of Disability Support (ODS). Please follow the procedures outlined below to complete the Student Application for Services.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 6 alpha numeric characters.
  4. 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. Secondary Disability(ies)

    General Category

    Health Impairment

    Hearing Impairment

    Intellectual Disability

    Learning Disability

    Mobility Impairment

    Neurological Impairment

    Psychological/Emotional Disabilities

    Vision Impairment

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Please select accommodations and services that you have received prior to registering with our ODS office. This can be accommodations and services provided at your High School, other College/University or in the workplace. If there are none, please leave any selections blank

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Other
Notetaking Services
Classroom Modifications
Audio Recording of Lectures
Please select services you are SEEKING to request with our office, and provide documentation for your eligibility

If you have a service animal, please indicate that in your student application. This will ensure the appropriate staff members are notified and make sure your transition to campus with your service animal is as smooth as possible. NOTE: you are not required to submit documentation regarding your service animal. For more information regarding service animals on campus, please visit our Service Animals on Campus Page.

Requesting Accommodations at ODS

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Other
Notetaking Services
Classroom Modifications
Alerts
Audio Recording of Lectures

Questions

  1.  
    Please identify any specific areas of concern:
  2.  
    Are you currently under the care of a specialist such as:
  3.  
    Are you currently experiencing any medication side effects that could impact your academic progress? * (Selection is Required)
  4.  
    Are you currently receiving support from any state or government agency? You do not have to answer this question, and while not always disability related, (i.e.: WIC, SSI, Disability, VA Benefits etc.) this information can help me connect you to other potentially helpful resources. * (Selection is Required)
  5.  
    Did someone refer you to the Office of Disability Support? * (Selection is Required)
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