Online Student Application
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Welcome to Disability Support Services at Western Nevada College. We look forward to meeting you to discuss your accommodation needs.
By submitting this form, I acknowledge that: (1) only I, the student or applicant, have filled out this form; (2) this application will not be processed until pertinent documentation of disability has also been provided; (3) the Disability Support Services office staff will consider the accommodations as requested on this form; (4) I authorize the Disability Support Services staff to consult as part of the review process; (5) accommodations, if rendered, may not be the same as those I received in high school or at another institution, and will not apply retroactively; (6) the accommodation determination process may take up to 14 days.
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Please identify any secondary disability(ies)
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Did you have an IEP in High School? *
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Do you have any health issues that may affect academic success? *
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Are you currently taking any medications? *
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Are you employed? (If yes, please indicate employer information) *
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Please select all that you know how to do:
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