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

Online Student Application

Two easy steps to register
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 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)

    General Category

  6. Affiliation(s)
  7. Ethnicity(ies)
  8. Campus Location(s)
Please select accommodations and services that you have received prior to registering with Accessible Education Services. These can be accommodations and services provided at your high school or other college/university. If there are none, please leave any selections blank

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing Access Services
Notetaking Services
Classroom Access
Mobility Device (Student Owned)
Housing Accommodations
Please select services you are SEEKING with our office, and provide documentation for your eligibility for those services

Requesting Accommodations at AES

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing Access Services
Notetaking Services
Classroom Access
Mobility Device (Student Owned)
Housing Accommodations

Questions

  1.  
    What services are you applying for?
  2.  
    Who referred you to Accessible Education Services?
  3.  
    Are you a student with a disability? * (Selection is Required)
  6.  
    Please check the major life activities with which this condition interferes:
  7.  
    Which learning skills do you want to improve?
Licensed to Accessible Information Management LLC Copyright © 2010-2024 by Haris Gunadi. All rights reserved.