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Online Student Application

Two easy steps to register
Welcome to College of Western Idaho's Student Disability Services

This is the first step in requesting disability services and accommodations.

This form is used to gather information that will assist us in determining eligibility for reasonable accommodations at College of Western Idaho. Once you have completed the form, you will be directed to upload your documentation.

Please note: All correspondence from our office will go to your CWI email address, so please ensure you list this and not a personal email address.

If you are not yet a student, please email accessibility@cwi.edu for general information regarding disability accommodations.
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

  5. Campus Location(s)
Questions
  1.  
    What is your class level? * (Selection is Required)
  2.  
    Do you have an Academic Advisor? * (Selection is Required)
  3.  
    Have you been diagnosed with a disability by a licensed or otherwise properly credentialed professional? * (Selection is Required)
  4.  
    Is your disability temporary? * (Selection is Required)
  8.  
    Have you met with our staff previously? Select all that apply:
  10.  
    Have you provided our office with documentation of your disability? * (Selection is Required)
  11.  
    Have you received academic accommodations previously? 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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