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Online Student Application

Two easy steps to register
Thank you for applying for services with the Center for Students with Disabilities at UW-Whitewater! Please select your appropriate campus when completing the application.

This application requires your UWW ID number; if you have not yet been admitted/received this information, you may download a paper copy from our website.

Please Note: Submission of a CSD Application does not imply you will receive services. In addition to this application, in order to be eligible for disability-related services, students must have a documented disabling condition as defined by the Americans with Disabilities Act of 1990 (ADA), ADA Amendments Act 2009 and Section 504 of the Rehabilitation Act of 1973.
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 7 alpha numeric characters.
  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.
Local Address
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Affiliation(s)
  2. Ethnicity(ies)
  3. Campus Location(s)

Questions

  1.  
    Are you requesting academic accommodations or services from the Center for Students with Disabilities (CSD)? Please select one of the following: * (Selection is Required)
  2.  
    What is your student status at the University of Wisconsin Whitewater (UWW)? * (Selection is Required)
  6.  
    Describe auxiliary aids, assistive technology, and/or services that you anticipate using while attending UWW (e.g. service dog, FM system, wheelchair) * (Selection is Required)
  7.  
    Please review the CSD documentation guidelines and submit appropriate documentation for your disability. (online submission using this site is a secure method of submitting documentation) * (Selection is Required)
  8.  
    By submitting this form, I certify that the information provided on this form is accurate. * (Selection is Required)
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