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Online Student Application

Two easy steps to register
Welcome to the ACCESS Office
Accommodations at Collin College for Equal Support Services

  • Please complete the following Student Disclosure and Accommodation Request Form.
  • We recommend that you submit supporting documentation when you complete this form.
  • Documentation Guidelines are available on the ACCESS Office website https://www.collin.edu/studentresources/disabilityservices/accesspdf/untitled.html or by emailing ACCESS@collin.edu.
  • Collin College may require additional documentation to substantiate your request for accommodations.
  • All information submitted to the ACCESS Office will be protected in accordance with FERPA regulations.
  • Please do not submit original documents. All records received by the ACCESS Office at Collin College will be destroyed five years after the last term enrolled.
  • Communication from the ACCESS Office will be prompt, using your Collin Cougarmail address.
  • If you would like to speak with an ACCESS Advisor prior to submitting a request, please email ACCESS@collin.edu.

Documentation of your disability may be uploaded as a compressed PDF file directly with your application after clicking "Submit Application".

Another option is to email your documentation to: ACCESS_Documentation@collin.edu.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter your 9-digit CWID.
  8. 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
  2. Secondary Disability(ies)

    ADD/ADHD

    Blind/Visual Impairment

    Deaf/Hard of Hearing

    General Category

    Learning Disability

    Medical/Physical

    Neurological

    Psychological/Emotional/Mental Health

  6. Affiliation(s)
  7. Ethnicity(ies)
  8. Campus Location(s)
Questions
  1. Are you a Dual Credit Student *
  3. What Collin College Campus will you be attending? *
  4. Have you ever been tested or diagnosed as having a disability? If so please describe your disability below? *
  5. Are you currently under the care of a professional (i.e. Physician, Counselor, Academic Coach, Psychiatrist)? *
  6. Are you currently receiving assistance from the Texas Workforce Commission (TWC) formally named Department of Assistive and Rehabilitative Services (DARS)? If yes, what is your counselor's name, phone number and fax number? *
  7. Did you graduate or receive a GED? If yes, what was the date of graduation of GED? *
  8. Have you attended any educational institutions beyond high school? *
  11. If you are Deaf or Blind do you plan on applying for a waiver/exemption? *
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