Online Student Application

Welcome to the DAR student portal!

To request academic or physical education accommodations, please complete the form below. The form provides important information to help us to better understand your needs. After submitting the form you will have the option to upload disability documentation.

!!! To request HOUSING or meal plan accommodations, please use our Housing Accommodation Request Form !!!

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name (please enter your PREFERRED first name here) *:
Last Name *:
Middle Name:
Legal Name (if different from preferred name):
Student ID *:
Hint: Please enter your 6 or 8 Alpha Numeric School ID, for example 00A12345.
Birth Date *:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Pronouns:

Contact Information

Cell Phone Number:
Hint: Enter 10-digit number only.
Reed Email Address *:
Please enter email address that ends in @reed.edu

Local Address

Address *:
City *:
State *:
Zipcode *:
Hint: Enter zipcode as 97331 or 97331-0000.

Permanent Address Same as Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Questions

What is your student status? * (Selection is Required)

Incoming Reed student (first-year or transfer student)

Current/returning Reed student

Graduate-level MALS student

Reed Young Scholar

Additional Note or Comment
For which disabilities or condition(s) are you seeking accommodations?
For each condition, please list whether it is temporary or chronic/ongoing.
Keeping in mind the main activities involved in being a student (reading, writing, attending class, participating in class, taking notes, taking exams, etc), how do your disabilities impact your academic functioning? Or, for PE accommodations, how do your conditions impact your ability to engage in physical activity?
What accommodations, if any, have you used in the past? Which ones did you find most useful?
Which accommodations are you requesting at Reed?
For EACH accommodation requested, please describe why the accommodation is needed for disability related reasons.
Is there any additional information you would like to share with us? * (Selection is Required)

Yes (Specify Below)

No

Additional Note or Comment

Home
- Online Services Home

Page Tabs

Online Student Application

Page Options

Questions

Navigation

Home

Disability & Accessibility Resources