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Online Student Application

Two easy steps to register
Welcome to Nashville State Community College (NSCC).
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STOP
Use this application if you have never previously applied to our office. If you are an ESL Student and do not have a disability, please contact connie.mathews@nscc.edu for supports.
Contact the Access Center at 615-353-3363
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This application alerts the Access Center of your request for accommodations. To be eligible for accommodations educational and or medical documentation is required.
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You will be prompted to upload documentation once you submit your application.
The information you provide is personal and confidential. You may choose to upload documentation now or later.


After completing this application, you will receive an email with a link to Upload Documentation or you may fax it to 615-353-3423 and please put Attention Access Center
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  8. Hint: Enter your A number. If you do not have an A number, please contact the Admissions office.
  9. 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.
  3. Hint: NSCC email is required. You find this email in MyNSCC. We can help you forward emails from your NSCC email to personal email.
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)

    Deaf/Hearing Impaired HOH

    General Category

    Learning Disability

    Mobility

    Psychological/Emotional

    Vision

  6. Ethnicity(ies)
  7. Campus Location(s)
Indicate what accommodations you received in the past.
Please select accommodations and services that you HAVE received PRIOR to registering with the Access Center.
This can be accommodations and services provided at your High School or other College/University. If there are none, please do NOT make any selections below.

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Notetaking Supports
Classroom Access
Indicate what accommodation you wish to receive now.
Please select services you are SEEKING to request from our office, and provide documentation for your eligibility. The accommodations you request should be similar to what you have received in the past but they do not have to be the same. Requests will be reviewed upon receipt of documentation from you.

Requesting Accommodations at ACCESS

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Notetaking Supports
Classroom Access

Questions

  2.  
    Did you have accommodations on the ACT/SAT or do you need them for the AccuPlacer test? Please list the accommodations you received in the Additional Note below. * (Selection is Required)
  3.  
    Do you intend to * (Selection is Required)
  6.  
    Will you be using any of the following?
  7.  
    Vocational Rehabilitation? * (Selection is Required)
  8.  
    Are you a veteran? (You will need to provide documentation) * (Selection is Required)
  9.  
    Do you use a personal tutor or have you used a personal tutor in the past? (Nashville State does not provide personal tutoring services. There are free tutoring services available in the Learning Center on Main campus). * (Selection is Required)
  10.  
    Check each box to indicate you understand your responsibilities as a student receiving acccommodations
  11.  
    Family Notification Preference * (Selection is Required)
  12.  
    After you submit your application you will receive an email from ACCESS. Please check your spam/junk folder.
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