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Online Student Application

Two easy steps to register
Welcome to CWI Student Disability Services (SDS)!

Please fill out this form to your best ability. Answer every question that has a red star marking it as required and fill out any box below a question if it asks for more information. You will receive an email with scheduling information for your intake meeting after you successfully submit this form. Your CWI issued Student ID number and Student Email Address are required to complete this step. Please check your CWI student email daily.

PLEASE NOTE: We recommend typing your answers in a separate document and then copying them into this application after you have answered all the questions. The application does time out and unfortunately it will not save your work.

If you are not an enrolled student with CWI, your first step is to Apply to CWI.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 alpha numeric characters.
  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)

    Blind/Visual

    Chronic/Acute Health

    Deaf/Hearing

    Developmental/Intellectual

    General Category

    Learning

    Mobility

    Neurological/Nervous System

    Orthopedic

    Other Health Impairment

    Psychological/Emotional

    Speech/Language

Questions

  1.  
    What is your class level? * (Selection is Required)
  4.  
    Which campus is your academic program located at or where will you attend the majority of your courses? Remote students who will be exclusively online, please select either location. * (Selection is Required)
  5.  
    Have you been diagnosed with a disability by a licensed or otherwise properly credentialed professional? * (Selection is Required)
  6.  
    Is your disability temporary? * (Selection is Required)
  10.  
    Have you met with SDS staff or had accommodations at CWI before? Select all that apply:
  12.  
    Have you provided our office with documentation of your disability? * (Selection is Required)
  13.  
    Have you ever received academic accommodations before? Select all that apply:
I understand that this application initiates the process for determining if I am eligible for disability services at CWI. Completing this application does not guarantee that I will receive accommodations. I understand that I must fulfill the requirements as outlined during my intake meeting with my SDS Coordinator and that failure to comply with the rules for responsible use of any approved accommodations may result in loss of services. I affirm that I understand and agree with the responsibilities of student participants and will abide by these understandings.
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