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Online Student Application

Two easy steps to register
Welcome to Disability Services application for auxiliary aids and services. At SVSU students must self-identify and provide adequate documentation or verification of a disability. After an initial interview and review of the supporting documentation, you will be notified of services you are eligible to receive.

Please fill out and submit this application to the best of your ability. Please note that once this application is complete, you can upload the required documentation (See complete documentation requirements at this link: www.svsu.edu/disabilityservices/documentationrequirements/)

Our preference is that the documentation is faxed to our office directly from the doctor's office. Note: supporting documentation may be sent/delivered to our office, but your diagnosing doctor must complete our official form from our website.

Once you have completed this application and we receive the documentation requirement, you must make an appointment with the Disability Services Intake Coordinator, Mary. Call 989-964-7000 for your appointment. We are located in Wickes Hall 260, down the hall from Career Services.

REMEMBER THERE ARE THREE STEPS TO BEING APPROVED FOR DISABILITY SERVICES.
1. Online Application
2. Documentation (Upload and/or Fax)
3. Face to Face meeting with Intake Coordinator

You must complete all three steps. We look forward to meeting you!
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 7 numeric characters (i.e. 0601234).
  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 (i.e. enter 9998888888 for 999 888 8888).
  2. Hint: Enter 10-digit number only (i.e. enter 9998888888 for 999 888 8888).
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Secondary Disability(ies)

    General Category

  2. Affiliation(s)
  3. Ethnicity(ies)*
  4. Campus Location(s)
Questions
  1. Do you live on campus?*
  2. What is your class standing?*
  3. If you were referred to Disability Services, plese indicate by whom:
  4. SVSU requires you to use Disability Services Form to be completed by your treating physician, located at: http://svsu.edu/disabilityservices/documentationrequirements/ Have you had your treating physician complete, upload or fax the DS Form? (Note: Comfort Animal information and form is below.)*
  5. Type of Additional Documentation you can provide (please upload in this application)
  6. Do you have a MRS counselor, VA couselor, or caseworker?*
  7. In addition to your disability, do you have any other health concerns?*
  8. Are you requesting a COMFORT ANIMAL?
  9. If Requesting a COMFORT ANIMAL, have you downloaded, read and completed the “Comfort Animal Policy and Form” required? http://svsu.edu/disabilityservices/documentationrequirements/serviceorcomfortanimalinfo/*
  10. If you live on campus, will you need assistance with emergency evacuation?*
  11. If you live on campus, do you want your R.A. to know about your disability?*
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