Skip to Main Content Skip to Tabs Skip to Sub-Tab Navigation

Online Student Application

Two easy steps to register
Welcome to The ACCESS Center registration process. Please fill in the form as completely as possible. The email you use must be a school email address ( in order to process the application.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 9 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)

    Acquired Brain Injury


    Autism Spectrum Disorder

    Blind/Vision Impaired


    General Category



    Specific Learning Disability

    Systemic Health

    Temporary Disability

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
  1. I am: *
  2. What is your class standing at UW-La Crosse? *
  3. Please select the type of documentation you have:
  4. Did you have an IEP or 504 plan in high school? *
  5. I confirm that I have entered a University of Wisconsin-La Crosse email address and understand that all communication from The ACCESS Center will only be sent to my UWL email address. *
Licensed to Accessible Information Management LLC Copyright © 2010-2021 by Haris Gunadi. All rights reserved.