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Online Student Application

Two easy steps to register
In order to be connected with the Disability Resource Center (DRC) and to receive accommodations students will first need to complete and submit the registration form below.

TMCC is committed to keeping sensitive disability-related information confidential, and information is only released on a need-to-know basis unless a student specifically gives us permission to share information with specific individuals or entities. The only exception to this policy is set forth in law and regulation, allowing records to be inspected by regulatory, enforcement or evaluative bodies and to be released as ordered by a court.

Please review the Student Rights and Responsibilites and the High School Transition Guide before submitting this registration form. By submitting this form, you are acknowledging that you have received notice of your rights and responsibilities.
Personal Information
  5. Hint: Enter 10 alpha numeric characters.
  6. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
  8. Note: Select when you would like to start your services.
  9. Note: Select when you plan to graduate.
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
  3. Please note that we will send all email correspondence to your school email address whenever possible. (your_name@mail.tmcc.edu).
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)

Questions

  4.  
    Would you like to be assessed for areas where technology may be used to help you overcome challenges related to your disability? * (Selection is Required)
  6.  
    Are you taking any medication at the present time? * (Selection is Required)
  9.  
    Are you a participant in any scholarships or programs with a credit requirement? * (Selection is Required)
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