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Online Student Application

Two easy steps to register
Thank you for your interest in the Noel Center for Disability Resources. Please complete the following application in its entirety. If you have any questions, please contact us at disabilityservices@gardner-webb.edu or at 704-406-4270. You may review our documentation guidelines by going to:

Documentation Guidelines
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)

    ADHD

    Autism

    General Category

    Hearing

    Learning Disability

    Mental Health

    Mobility Disorders

    Systemic Disorders

    Vision

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

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Others
Notetaking Services
Classroom Access

Requesting Accommodations at Noel Center

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Others
Notetaking Services
Classroom Access

Questions

  1.  
    Your Current Status * (Selection is Required)
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