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Online Student Application

Two easy steps to register
By completing this Application you are requesting for the review of potential accommodations at The University of Akron, Main Campus in Akron Ohio. If you are completing any course work, including online courses, at one of the Alternative Locations (Wayne, Lakewood, Medina, or Millersburg) you must also complete the New Student Application utilizing the Wayne College Application which can be found at this link: https://wayne.uakron.edu/student-services/accessibility-services/new-student-instructions.


By submitting the application listed below, you agree to the following:
  • I understand that admission to The University of Akron is a separate process.
  • I understand I must submit documentation of my disability prior to meeting with a specialist for an intake appointment.
  • I authorize the Office of Accessibility to contact my physician to clarify any questions regarding my documentation.
  • I understand that submitting this form does not automatically qualify me for accommodations and/or services.
  • I understand I will not be eligible to receive services until all documentation is provided.
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 7 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
  1. Ethnicity(ies)
Questions
  1. Are you a current UA student? If yes, what is your major and the college to which the major belongs? If no, what is your anticipated enrollment date and major? *
  2. Are you registered with the Opportunities for Ohioans with Disabilities (formally Bureau of Vocational Rehabilitation) or the Bureau of Services for the Visually Impaired (BSVI)? *
  3. Are you requesting Residence Life and Housing accommodations due to a disability? If yes, please explain. *
  4. What is your current status?
  5. Disability Information: Please check all that apply
  11. Will you have a Personal Care Assistant (PCA)? *
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