Online Student Application

Please read before completing application:

You should have already applied and been admitted to Texas A&M University-Corpus Christi (TAMU-CC). If you have not done so, but would like to receive more information about our services, please contact our office at 361-825-5816 or disability.services@tamucc.edu.
During the application process, you will need to submit documentation of your disability. For specific information regarding acceptable documentation, please see (http://disabilityservices.tamucc.edu/services/index.html#Documentation). You will be given the opportunity to upload your documentation after completing this form (please be advised that the file size cannot exceed 1MB). If you do not have your documentation available, you may still submit the application today and upload your documentation at a later date (a direct link to upload documentation will be provided to you in the confirmation email that your application has been received).
After your application and documentation have been received, please allow up to seven business days for our staff to review your file and contact you regarding next steps, which will include an Access Planning Meeting to determine appropriate academic accommodations, if documentation is sufficient.
If you have any questions or concerns regarding the application process or our services in general, please contact us:

In person: Corpus Christi Hall 116
By phone: 361-825-5816
Via email: disability.services@tamucc.edu

Please note that all "Questions" must be answered on the form before submitting.

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name *:
Last Name *:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 9 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender *:

Contact Information

Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address *:

Local Address

Address *:
City *:
State *:
Zipcode *:
Hint: Enter zipcode as 97331 or 97331-0000.

Permanent Address

Same as Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Additional Information

Questions

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