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Online Student Application

Two easy steps to register
Welcome to San Juan College.

Requesting accommodations is as easy as 1,2,3.
1. Complete the questionnaire below. If you need assistance please call the office at (505) 566-3643.
2. Upload your documentation.
3. Once your application is received, it'll be reviewed and you'll be contacted for additional information. If determined eligible, accommodations will be approved.

You only need to complete this step once, but you'll need to request accommodations each semester.

Please follow the procedures outlined below.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 7 alpha numeric characters.
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
  3. Hint: Please enter your San Juan College email address.
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)

    Attention Disability (ADD/ADHD/ etc.)

    Blind/ Low Vision

    Deaf/ Hard of Hearing

    Developmental Disability

    General Category

    Learning Disability

    Mobility Disorders

    Neurologic

    None

    Psychological Disabilities

    Speech Impairment

  2. Affiliation(s)
Please select accommodations and services that you have received prior to completing this form. These can be accommodations and services provided at your High School, San Juan College, or other College/University. If there are none, please leave any selections blank

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Others
Notetaking Services
Classroom Access
Assistive Technology

Questions

  1.  
    What prompted you to contact us now?
  2.  
    How did you hear about Disability Services?
  3.  
    What accommodations are you currently requesting?
  4.  
    What type of documentation will you be able to provide?
  5.  
    Have you attended high school within the past 7 years? * (Selection is Required)
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