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Introduction

Type: DESP-DSPS Application.

Welcome to Disability Services at Mission College and West Valley College

Disability Services provides accommodations and support to students with disabilities to ensure equal access to college courses, programs, services, activities, and facilities.

At Mission College, disability services are provided through Disability Support Programs & Services (DSPS). At West Valley College, disability services are provided through the Disability and Educational Support Program (DESP).

Students only need to submit one application to request accommodations at Mission College, West Valley College, or both colleges. You do not need to submit a separate application for each college.

Disability Services Program Overview

DSPS and DESP provide disability-related services and reasonable accommodations for eligible students with disabilities attending Mission College and/or West Valley College. A variety of services and accommodations are available to support equitable access and full participation in college courses, programs, services, activities, and facilities.

Please follow the steps below to complete your application and provide disability verification. Once submitted, Disability Services staff at the primary campus you selected will review your application and contact you regarding next steps.

Need support or have questions? Contact us at:

West Valley DESP: desp@westvalley.edu
Mission College DSPS: dsps@missioncollege.edu

Application Information

Campusrequired field:

Start Termrequired field:

Personal Information

First Namerequired field:

Preferred Name:

Middle Name:

Last Namerequired field:

School IDrequired field:

Hint: Enter 9 alpha numeric characters.

Birth Daterequired field:

Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2026).

Gender:

Pronoun:

Contact Information

Email Addressrequired field:

Email Address (Secondary)required field:

Hint: The system will not send email to the secondary email address. This field is used to record additional student email addresses. For security purposes, we do not recommend sending email to student personal email address.

Primary Phone Numberrequired field:Specify country code for Primary Phone NumberSpecify Primary Phone Number

Local Address

Address:

City:

State/Province:

Zip Code/Postal Code:

Permanent Address

Addressrequired field:

Cityrequired field:

State/Provincerequired field:

Zip Code/Postal Coderequired field:

List of Questions

Question 1: Have you attended other Colleges? If so, please list the colleges below.required field

Yes (Additional Comment Required)

Additional Comment:

Question 2: On the next screen, you will be asked to upload disability verification. If you do not have documentation right now, you may still submit this application and follow up with the DESP or DSPS office. Please select the option that best describes your situation:required field

I have disability documentation and plan to submit it.

I do not currently have documentation and would like a referral for disability evaluation.

I received disability services in high school or in a community program and am not sure what documentation I need.

I am unsure if I still qualify and would like to speak with someone from DSPS about my situation.

Other (please explain): (Specify Below) (Additional Comment Required)

Additional Comment:

Question 3: Is there anything you would like to share about your needs?

Question 4: Will you need any of the following accommodations for your Intake Appointment?

Sign Language Interpreter

Foreign Language Interpreter (Specify Below)

Real Time Captioner

Large Print Documents

Braille Documents

Other (Specify Below)

Additional Comment:

Question 5: Voter Registration

Under the National Voter Registration Act (NVRA), DSPS and DESP provide students the opportunity to register to vote. Registering to vote is optional and your decision will not affect your services. See who can vote in California

If you do not select an option, you will be considered to have decided not to register to vote at this time.

Important Notices

1. Applying to register or declining to register to vote will not affect the amount of assistance that you will be provided by this agency.

2. If you would like help in filling out the voter registration form, we will help you. The decision whether to seek or accept help is yours. You may fill out the voter registration form in private.

3. If you believe someone has interfered with your voter registration rights or privacy, you may file a complaint with the Secretary of State at (800) 345-VOTE (8683) or write to: Secretary of State, 1500 11th Street, Sacramento, CA 95814. California Secretary of State

If you are not registered to vote where you live now, would you like to apply to register to vote here today? (Check One)required field

Already registered. I am registered to vote at my current residence address.

I would like to register to vote. If you selected "I would like to register to vote," use this link to register: Register to Vote

I do not want to register to vote at this time.

Form Submission

Student Responsibilities and Agreement

By submitting this application, I understand and agree to the following:

I will provide Disability Services at West Valley DESP or Mission College DSPS with the information, documentation, and/or forms (medical, educational, or other documentation) necessary to verify my disability and determine eligibility for services and accommodations.
I will meet with an Disability Services Counselor, Advisor, or Director, as appropriate, to discuss my disability-related needs and establish approved accommodations. I understand that I may need to meet with Disability Services periodically to review or update my accommodations.
I agree to use Disability Services and approved accommodations responsibly and in accordance with applicable program policies and procedures.
I understand that Disability Support Programs & Services (DSPS) at Mission College and the Disability and Educational Support Program (DESP) at West Valley College maintain policies and procedures related to the provision and responsible use of disability services.
I agree to comply with the applicable Student Code of Conduct and understand that I am responsible for meeting the requirements for participation in Disability Services.
I understand that information regarding program policies, including policies related to the suspension of services, will be made available to me and that I will be notified in writing before action is taken to suspend disability-related services.

By submitting this application, I affirm that I understand and agree to these student responsibilities and will abide by applicable Disability Services policies and procedures.

Privacy and Confidentiality

The West Valley-Mission Community College District uses the information requested through this application for the purpose of determining eligibility for disability-related services and accommodations and providing authorized services through DSPS and DESP.

Personal information collected through this application will be maintained in accordance with applicable privacy and confidentiality requirements. Portions of this information may be reported or shared with the California Community Colleges Chancellor's Office or other state or federal agencies as authorized or required by law. Disclosure of student information is governed by applicable confidentiality requirements, including the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g.

Pursuant to Section 7 of the Federal Privacy Act (Public Law 93-579; 5 U.S.C. § 552a note), providing a Social Security number is voluntary.

Information collected through this application is pursuant to applicable provisions of the California Education Code and California Code of Regulations, Title 5, governing disability services and programs within the California Community Colleges.

Question?

Mission College
Disability Supports Programs and Services
3000 Mission College Blvd.
Santa Clara, CA 95054
Location: Campus Center 240
Phone: (408) 855-5085 (Voice)
Email: dsps@missioncollege.edu

West Valley College
Disability and Educational Support Program
14000 Fruitvale Ave.
Saratoga, CA 95070
Location: Student Services Center
Phone: (408) 741-2010 (Voice)
Email: desp@westvalley.edu