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Online Student Application

Two easy steps to register
The Goldman Center for Student Accessibility is committed to providing equal access for students at Tulane University. Please complete this application so we may better understand your individual strengths and weaknesses and to help us identify any disability-related barriers in our community.

Important Message: This application should be completed by the student. Parents/guardians may assist, but the responses must be the student's own narrative.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 9 alpha numeric characters.
  8. 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
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  2. Secondary Disability(ies)

    Attention Deficit Hyperactivity Disorder (AD/HD)

    Autism Spectrum Disorder

    General Category

    Learning Disorder

    Physical/Medical Disorder

    Psychiatric Disorder

  4. Campus Location(s)

Questions

  1.  
    Would you like to opt-in to a "desk-review" of your request? This is an alternative means of engaging in our interactive process through sufficient narrative information AND adequate supporting documentation. A desk-review is ONLY applicable to students requesting 1.5x (50%) additional time for tests, a Distraction Reduced Environment, and Use of a Computer for Notetaking. * (Selection is Required)
  2.  
    Level of Program (Please Specify Below) * (Selection is Required)
  5.  
    Did you previously use accommodations in school? * (Selection is Required)
  7.  
    Is there any other information you believe will be helpful for us regarding your request? * (Selection is Required)
  8.  
    Are you a student athlete? If yes, communication about your application and next steps will include Wendy Leblanc, Athletics Department Learning Specialist, in order to provide support during your application process. * (Selection is Required)
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