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Online Student Application

Two easy steps to register
Welcome to Concordia University's Accessibility Support Service registration process! Please complete the request to begin the process.

To process the application, you must use your school email address (@cuw.edu.). If you have any questions regarding the request process or experience difficulties, please contact the Academic Resource Center at 262-243-4299 for Mequon, Wisconsin or 734-995-7582 for Ann Arbor, Michigan.
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 9 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
  2. Secondary Disability(ies)

    Acquired Brain Injuries

    ADD/ADHD

    Autism Spectrum Disorder

    General Category

    Hearing

    Physical/Mobility

    Psychological

    Specific Learning Disability

    Systemic/Health Condition

    Vision

  6. Ethnicity(ies)
  7. Campus Location(s)
Please select accommodations and services that you have previously received either at your high school or other college/university. If there are none, please leave this section blank. This information will be used to assist in determining what accommodations you may be eligible for at Concordia University.

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Others
Notetaking Services
Classroom Access
Housing Accommodation
Concordia University is committed to removing barriers that prevent students with disabilities from achieving their academic goals. Please select accommodations and services you are requesting through Accessibility Support Services. The final determination for providing appropriate accommodations rests with the Concordia University Accessibility Services Office.

Requesting Accommodations at ARC-AS

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

Questions

  4.  
    I am... * (Selection is Required)
  5.  
    What is your class standing at Concordia University? * (Selection is Required)
  6.  
    I received information about Disability Support Services (DSS) from.... (Select all that apply)
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