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Online Student Application

Two easy steps to register
Welcome! After you have applied and been accepted to State College of Florida, complete this DRC Application and provide documentation of disability. Documentation guidelines are available on the DRC Forms/Information link: www.scf.edu/DisabilityResourceCenter

We invite you to visit and familiarize yourself with the DRC website for additional information regarding policies, procedures, accommodations, and resources: www.scf.edu/DisabilityResourceCenter

Registration Agreement:

I understand that I will not be eligible for services if I do not provide documentation of a diagnosed disability, do not have a diagnosed disability, or do not follow Disability Resource Center (DRC) policies and procedures.

I understand that my services will not be in effect until I have completed an intake interview with DRC staff and signed an Accommodation Agreement.

Please carefully read and answer each question below:
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 (i.e. enter 5417377000 for 541 737 7000).
  2. Hint: Enter 10-digit number only (i.e. enter 5417377000 for 541 737 7000).
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)

    AD - Autism / Asperger

    BD - Traumatic Brain Injury/ Head injury

    General Category

    HD - Hearing Loss/ Deaf

    LD - Learning Disability

    MD - Mental (PSY, ADD/ADHD, etc)

    OD - Other/Medical - HIV or Cancer

    PD - Physical (not OD or Temp)

    SD - Speech Disorder

    T - Temporary (Bones, Pregnancy, etc)

    VD - Vision loss / Blind

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Questions
  1. Primary SCF campus location (current and prospective students):*
  2. Are you currently enrolled in classes at SCF?*
  3. Did you have an IEP/504 plan in high school?*
  4. What documentation will you provide to the DRC office? (check all that apply)
  5. What type of high school diploma did you receive?*
  6. Have you previously received accommodations from SCF?*
  7. Do you have a FERPA form on file with SCF Educational Records?*
  8. Do you want to register to vote?*
  9. Do you want to update your existing voter registration?*
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