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Online Student Application

Two easy steps to register
Please fill out this form if you are requesting services from Learning Support Services. If you are not a student with a disability, skip the questions related to disability and academic accommodations.

Please note that this form is for academic accommodations only. If you are looking to apply for housing and dining accommodations, please use the following link.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 alpha numeric characters.
  8. 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
  2. Secondary Disability(ies)

    General Category

  6. Affiliation(s)
  7. Ethnicity(ies)
  8. Campus Location(s)
If you are requesting academic accommodations for a disability please select the accommodations you received in high school or from another college/university. If you are not requesting accommodations, please leave this section blank.

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing Access Services
Other
Notetaking Services
Classroom Access
Mobility Device (Student Owned)
Please select the accommodations that you are requesting for use at Linfield University. This is not a comprehensive list of accommodations available and you will have an opportunity to clarify any request not listed on the application.

Requesting Accommodations at LSS

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing Access Services
Other
Notetaking Services
Classroom Access
Mobility Device (Student Owned)

Questions

  1.  
    Which services are you applying for?
  2.  
    Who referred you to Learning Support Services?
  3.  
    Which learning skills do you want to improve?
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