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Online Student Application

Two easy steps to register
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.
  4. Hint: Enter 7 alpha numeric characters.
  5. 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.
Additional Information
  1. Ethnicity(ies)
  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. Please check all that apply
  5. Disability Information: Please check all that apply
  6. Will you have a Personal Care Assistant (PCA)? *
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