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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.
  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

    ADHD

    Autism Spectrum Disorder

    Blind/Vision Impaired

    Deaf/Hard-of-Hearing

    General Category

    Physical/Mobility

    Psychological

    Specific Learning Disability

    Systemic Health

    Temporary Disability

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Questions
  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. *
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