Online Student Application

Please note that you can meet with a staff member at any time to discuss your situation and needs.

Before you start entering your information it may be helpful to gather any applicable documentation so you can upload it along with your information.

Please review the documentation requirements and application procedures on our website at:

https://www.uwsp.edu/datc/Pages/apply-for-accommodations.aspx

Please provide all requested information so that your review and eligibility determination is not delayed.

If your documentation file is too large to upload, please contact us.

If you do not receive a reply within 7 days, please contact the office at 715.346.3365.

Personal Information

Start Term *:
Note: Select when you would like to start your services.
Primary Campus *:
Note: Please select campus location where you will be enrolled.
Expected Graduation Term:
Note: Select when you plan to graduate.
First Name *:
Last Name *:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 8 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender *:
Pronouns:

Contact Information

Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address *:

Local Address

Address *:
City *:
State *:
Zipcode *:
Hint: Enter zipcode as 97331 or 97331-0000.

Permanent Address

Same as Local Address

Address:
City:
State:
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.

Additional Information

Please indicate any accommodations and services that you have previously received either at your high school or other college/university. If there are none, please leave this section blank. This information will be used to assist in determining what accommodations you may be eligible for at UWSP.

Prior Accommodations

UWSP is committed to removing barriers that prevent students with disabilities from achieving their academic goals. Please select accommodations and services you are requesting through the DATC. The final determination for providing appropriate accommodations rests with the DATC staff.

Requesting Accommodations at DRC

Questions

Prior Accommodations: Please expand on the accommodations you selected in the "Prior Accommodations" column above, and specify any additional services previously received. * (Required)
Requesting Accommodations: Please expand on the accommodations you selected in the "Requesting Accommodations" column above, and specify any additional services you are requesting. * (Required)
If you have not been formally evaluated or diagnosed, please identify any conditions or concerns that you want to learn more about getting evaluated or assessed for: * (Required)
Functional Limitations: Describe anything you want us to know about your condition and how it impacts you. * (Required)
Assistance Animals: Please indicate if you need additional information about bringing an assistance animal to campus.

Emotional Support Animal approval

Service Animal registration

Additional Note or Comment
Other: Please describe any other accommodations. Please note that housing accommodations other than animals are considered by Residential Living (715.346.3511, resliving@uwsp.edu). Meal plan/dining accommodations related to dietary needs are considered by Dining and Summer Conference (715.346.3434, dsc@uwsp.edu). * (Required)
Student Status (select one) I am a_____ * (Selection is Required)

Prospective Student - Considering UWSP

Prospective Student - Have applied for admission

First Year New Student

New Transfer Student

Continuing Student (not new to UWSP, but new to DATC)

Graduate Student

Undergrad Special/Visiting (i.e. International Student)

Additional Note or Comment

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Disability Resource Center

University of Wisconsin - Stevens Point
1801 Fourth Avenue
Stevens Point, WI 54481

Website: https://www.uwsp.edu/drc
Email Us: drc@uwsp.edu

Phone: (715) 346 - 3365
Fax: (715) 346 - 4143

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