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Getting Started Form

Two easy steps to register

Note: All fields with * are required fields.

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.
  2. Hint: Enter 10-digit number only.
  3. Hint: Please use your Clark email address if you have one.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
  1. What brings you to Disability Support Services?
  2. Have you used accommodations in the past?
  3. Please indicate the type and nature of disability you experience.
  4. Functional Limitations- I have difficulty with:
  5. Have you completed any of the DSS steps previously, such as providing documentation or completing an intake appointment? (Note: If you answer no, we will not check our past files and we will consider you a new student with DSS.)
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