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Online Student Application

Two easy steps to register
The Goldman Center for Student Accessibility is committed to providing equal access and a friendly environment for all who study and work at Tulane University. Please complete this application so we may better understand your individual strengths and weaknesses and to help us identify any barriers in our community.

Important Message: This application should be completed by the student. Parents/guardians may assist, but the responses should be from the student’s perspective.
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).
Student Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
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)

    Attention Deficit Hyperactivity Disorder (AD/HD)

    Autism Spectrum Disorder

    General Category

    Learning Disorder

    Physical/Medical Disorder

    Psychiatric Disorder

  2. Campus Location(s)


    Level of Program
    Did you previously use accommodations in school? * (Selection is Required)
    Is there any other information you believe will be helpful for us regarding your request? * (Selection is Required)
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