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Online Employee Application

Two easy steps to register
Thank you for choosing to disclose your status as a person with a disability to the university. Please complete the following application and submit supporting documentation. You will then be contacted concerning next steps.
Personal Information
  1. Hint: Enter 9 alpha numeric characters.
  2. 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
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Questions
  1. If you have a mobility or other impairment that may make evacuation during an emergency difficult, would you be interested in the Director of ADA Compliance informing emergency management personnel of your office location in case of an emergency? *
  2. Are you interested in discussing workplace accommodation? *
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