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Online Student Application

Two easy steps to register
The information provided will assist the University in making decisions about appropriate accommodations. The University considers various types of information, such as academic program requirements, functional limitations, previous use of assistive services, student preferences, and factors that mitigate or contribute to any functional limitations (see the 504/ADA Accommodation Policy).

I understand that I must have a qualified health care provider (Psychiatrist/Psychologist/Diagnosing Physician/Licensed Health Care Provider) complete and submit the Disability Verification Form and/or their own report documenting the conditions/diagnoses, functional limitations, and recommended accommodations. For requests for assistance animals, students should also ask their health care provider to fill out the Recommendation for Assistance Animal Form. Click the link to https://utulsa.edu/student-academic-support/disability-services for the Disability Verification Form and Recommendation for Assistance Animal Form.

I understand the University will consider the accommodations as requested on this form and that copies of all documentation provided will be reviewed by select administrators and others with a need to know as determined by the University.

BY SUBMITTING THIS APPLICATION I AFFIRM THAT ALL PERSONAL STATEMENTS AND DOCUMENTS THAT I AM SUBMITTING IN SUPPORT OF MY APPLICATION ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSIFYING OR MISREPRESENTING FACTS OR INFORMATION MAY RESULT IN DISCIPLINARY ACTION. I AUTHORIZE THE CENTER FOR STUDENT ACADEMIC SUPPORT STAFF TO RELEASE LIMITED DISABILITY RELATED INFORMATION TO THE APPROPRIATE OFFICES AS IT RELATES TO MY REQUEST FOR SUCH ACCOMMODATIONS.

Once you submit this form, a member of the CSAS office will contact you to schedule an appointment to discuss your accommodation needs. If in the meantime you have additional questions, please do not hesitate to contact CSAS (csas@utulsa.edu).
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  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.
Additional Information
  1. Affiliation(s)
  2. Campus Location(s) *

Requesting Accommodations at StAcc

Alternative Testing
Alternative Formats
Others
Notetaking Services
Classroom Access
Housing & Dining Accommodations
Questions
  1. Primary Disability
  2. Are you an international student? *
  3. Are you a University of Tulsa student athlete? *
  4. Have you received special services at a previous school?
  5. Do you have any other major illneses/health issues/seizures/previous head injury? *
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