Skip to Main Content Skip to Tabs Skip to Sub-Tab Navigation

Online Student Application

Two easy steps to register
Welcome to the Accessible Education Center!

  • Please complete the questions below. This information is required to assist in determining eligibility for services.
  • Students seeking accommodations are also required to provide formal documentation to the office from the appropriate evaluator. Documentation Guidelines are available on the Accessible Education Center (AEC) website or by emailing disability@tntech.edu.
  • The Accessible Education Center may require further documentation to substantiate the request for accommodations.
  • All information submitted to AEC will be maintained and used in accordance with applicable confidentiality requirements.
  • Communication from AEC will be prompt, using the student's official TTU email address as the primary mode.
  • Both this form and supporting documentation must be received before a review by AEC will proceed.
  • If you have questions or would like to meet with AEC staff prior to submitting a request, please email disability@tntech.edu
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. Affiliation(s)
  2. Ethnicity(ies)

Questions

  1.  
    Are you currently receiving treatment? * (Selection is Required)
  2.  
    Are you taking any medications? Describe why medication is prescribed and whether it is effective or ineffective.* * (Selection is Required)
  3.  
    Have you received accommodative support for your disability in the past (i.e. IEP, 504 Plan, accommodations at college/university)? If yes, please describe and submit a copy of past accommodations to supplement documentation. *Please note: past accommodations do not guarantee future accommodations * (Selection is Required)
  4.  
    Have you used any support services to assist in managing the impacts of your disability? (i.e. counseling, coaching, social support services)?* * (Selection is Required)
  5.  
    Please acknowledge: The AEC accommodation process is separate from the Residential Life placement process. This application only addresses the need for disability accommodation and not placement. It is necessary to apply for placement through the Residential Life office. Approval for accommodation does not guarantee placement. Placement is based on availability as coordinated through ResLife. * (Selection is Required)
Licensed to Accessible Information Management LLC Copyright © 2010-2024 by Haris Gunadi. All rights reserved.