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Online Student Application

Two easy steps to register
Please complete our online application for accommodations with the Wright State University Office of Disability Services. If you encounter difficulties with this application, please call 937.775.5680 right away for assistance.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  8. Hint: Enter 9 alpha numeric characters.
  9. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
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
  3. Affiliation(s)
  4. Ethnicity(ies)

Questions

  2.  
    In high school, did you have any of the following? (Check all that apply.) If you had any of these in high school, please send our office the most recent copy.
  3.  
    Have you ever attended another college or university? If yes, please list institution name and location. * (Selection is Required)
  4.  
    Did you receive accommodations from your previous institution(s)? If yes, please submit a letter from your previous institution(s) describing the accommodations you received. * (Selection is Required)
  5.  
    Admission to Wright State University is separate from applying for services from our office. Have you applied to the university for admission? * (Selection is Required)
  6.  
    What is the nature of your disability. Please choose all that apply to you:
  10.  
    I understand that in order to finalize my eligibility for ODS services/accommodations, I am responsible for submitting documentation of my disability(ies) prior to meeting with an ODS counselor for my pre-service interview. I also understand that the application for Disability Services is independent from my application for admission to Wright State University. Mark YES for electronic signature. * (Selection is Required)
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