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Online Student Application

Two easy steps to register
Welcome to Access Services! To help us serve you better, please complete the form below in it's entirety. Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA). For more information on FERPA, please visit: http://www.olympic.edu/staff-faculty/institutional-research-planning-and-assessment/family-educational-rights-privacy-act.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 9 alpha numeric characters.
  4. 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. Secondary Disability(ies)

    01 Deaf/Hearing

    02 Mobility

    03 Speech/Language

    04 Learning Disability

    05 Vision

    06 Chronic/Acute Health

    07 Neurological

    08 Psychological/Emotional

    General Category

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Questions
  1. Have you used accommodations in your previous school experience? *
  2. Are you receiving Federal Financial Aid? *
  3. Are you receiving benefits from any agency? *
  4. How did you learn about Access Services?
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