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Online Student Application

Two easy steps to register
Welcome to UNC Asheville's Office of Accessibility! We are glad you are here.

The purpose of this application is to help us learn more about the barriers to access that may exist for students with disabilities here on our campus. If you are currently experiencing, or anticipate that you may experience, a barrier to accessing any university curriculum, facility, service, or activity, we'd like to work with you.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Hint to: Enter 930 number.
  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.
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. Disability(ies)

    ADHD

    Autism

    General Category

    Hearing Impairments

    Orthopedic Impairments

    Other Health Impairments

    Psychological Disability

    Specific Learning Disability

    Speech or Language Impairments

    Temporary Disability

    Traumatic Brain Injury

    Visual Impairments

  2. Affiliation(s)
  3. Ethnicity(ies)

Questions

  1.  
    In general, what accommodations are you interested in talking about?
  2.  
    This semester, will you be participating in out-of-classroom curriculum for which accommodations will be required? For example, field placements, internships, service learning opportunities, etc. * (Selection is Required)
  3.  
    If you are requesting residential accommodations, please state your request here:
  4.  
    Have you received accommodations in the past? If so, what accommodations did you receive? Please note, this question is intended to provide context only. It is not necessary to have a history of accommodations in order to request/receive accommodations.
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