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Online Student Application

Two easy steps to register
Please take a few minutes to complete this application to the best of your ability. The information you provide within this application will assist Office of Accessibility Services staff better understand your needs and the services you wish to use. To learn more about the WVU Office of Accessibility Services you can visit our website at: http://accessibilityservices.wvu.edu/ or by calling 304 293-6700.
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 (i.e. enter 5417377000 for 541 737 7000).
  2. Hint: Enter 10-digit number only (i.e. enter 5417377000 for 541 737 7000).
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)

    ADD/ADHD

    Autism Spectrum

    Cardiological

    General Category

    Hearing

    Hematological

    Learning

    Medical/Health

    Musculoskeletal

    Neurological

    No Disability

    Psychological/Psychiatric

    Respiratory

    Speech

    Traumatic Brain Injury (TBI)

    Visual

  2. Affiliation(s)
  3. Campus Location(s)
Please check past services you have used to assist you with your reported disability and/or disabling condition. If you have not used services in the past please skip this section.

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Other
Notetaking Services
Class/Classroom Access
Please check services you wish to use at WVU to assist you with your reported disability and/or disabling condition. If you do not know the services you wish to use please skip this section.

Requesting Accommodations at OAS

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Other
Notetaking Services
Class/Classroom Access
Questions
  1. How did you hear about the Office of Accessibility Services?
  2. Have you ever had an IEP, Section 504 Plan, or received accommodations in High School?
  3. Do you use Alternative format reading materials (Digital Format/Audio Book/Large Print/Braille)?
  4. Do you use Assistive Technology (Dragon Naturally Speaking, Kurzweil 3000, JAWS)?
  5. Where are you completing this application?
  6. Do you have a scheduled appointment with an Accessibility Specialists?
  7. By checking "Agree" below, I give the WVU Office of Accessibility Services (OAS) permission to review and evaluate information and documentation provided in this application. I also understnad that by checking "Agree" below I am giving the OAS permission to contact me at the contact information provided on this application.
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