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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 (@uwlax.edu) 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.
  7. Hint: Enter 9 alpha numeric characters.
  8. 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
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  2. Secondary Disability(ies)

    Acquired Brain Injury

    ADHD

    Autism Spectrum Disorder

    Blind/Vision Impaired

    Deaf/Hard-of-Hearing

    General Category

    Physical/Mobility

    Psychological

    Specific Learning Disability

    Systemic Health

    Temporary Disability

  6. Affiliation(s)
  7. Ethnicity(ies)
  8. Campus Location(s)

Questions

  1.  
    I am: * (Selection is Required)
  3.  
    What is your class standing at UW-La Crosse? * (Selection is Required)
  4.  
    Did you have an IEP or 504 plan in high school? * (Selection is Required)
  5.  
    Please select the type of documentation you have:
  8.  
    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. * (Selection is Required)
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