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Online Student Application

Two easy steps to register
AACE Registration and Request for Services

The Access and Accommodations Center (AACE) is committed to providing equal access for students with disabilities at GSU.

You may request disability accommodations or Title IX pregnancy/childbirth adjustments at GSU by completing and submitting this form. Please complete the following steps:

1) Submit the AACE Registration - Request for Services form

2) Submit current disability documentation that meets the requirements of the documentation guidelines The document guidelines may be accessed here: Documentation Guidelines If available, please also submit IEPs, 504 Plans or High School Service Plans, Letter of Accommodation from other colleges, and/or SAT/ACT Accommodation Approval Letters.

You may upload your documentation along with the Request for Services form to our secure website and will also be provided with an opportunity to upload your documentation via email following submission of your application. If you prefer, you may also choose to fax, mail, or hand deliver your documentation to our office. Our contact information is listed at the end of this message.

3) Attend an initial interview with your assigned Access Coordinator

After you submit your application, it will be reviewed by AACE and we will contact you via your GSU email address if we require additional information. Once your application has been reviewed, you will be assigned to an Access Coordinator who will contact you to set up an initial interview where you will discuss accommodations with you.

You can complete this application at any time, although we encourage students to complete it as early as possible. Once everything is submitted, the process to evaluate the application takes around 3 to 5 business days, so the earlier you submit the application, the earlier we can begin that process. All information provided to AACE is confidential.

Directions for completing the Registration form:

NOTE: When completing the application, the page may time out. To keep this from occurring, please submit your answers often. This will not submit multiple applications.

Please answer all questions as completely as possible. Most questions are required, so if a question does not apply to you, please either select “Not applicable” or write it in the space provided. If you require more room for written responses, the text boxes can be enlarged by hovering over the bottom right corner and resizing the box.

If you have any questions while completing this application, would like more information about our services, or require this application in an alternative format, please contact our office.

AACE Contact Information

Address: Student Center East, Suite 304 - 55 Gilmer Street, Atlanta, GA 30303
Phone Number: 404-413-1560
Fax Number: 404-413-1563
Email Address: access@gsu.edu
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  8. Hint: Enter 9 alpha numeric characters.
  9. 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.
Additional Information
  2. Secondary Disability(ies)

    A - No previous diagnosis - Request for Regents Center for Learning Disorders (RCLD) evaluation

    ADHD

    Autism Spectrum Disorder

    Brain Injury

    Communication Disorders

    Deaf and Hard of Hearing

    General Category

    Learning Disabilities

    Mobility Impairment

    Other

    Pregnant (Title IX)

    Psychological Disabilities

    Systemic Disorders: Chronic Health

    Systemic Disorders: Muscular/Skeletal

    Systemic Disorders: Neurological

    TBD

    Temporary Impairments

    Visual Disabilities

  4. Affiliation(s)
  5. Campus Location(s)

Questions

  1.  
    Current GSU Status * (Selection is Required)
  3.  
    Are you seeking to be evaluated by the Regents Center for Learning Disorders (RCLD) * (Selection is Required)
  4.  
    Do you have side effects from a medication that impact you in the educational environment? If yes, please describe side effects below. * (Selection is Required)
  6.  
    Please list any academic accommodations and/or services that you used in high school, if applicable: * (Selection is Required)
  7.  
    Please list any colleges previously attended and any academic accommodations and/or services used there, if applicable: * (Selection is Required)
  8.  
    Please list any accommodations that you used on any national standardized exams (SAT, ACT, GRE, LSAT, etc.), if applicable: * (Selection is Required)
  10.  
    Please list any auxiliary aids, equipment, assistive technology, and/or other services you anticipate using while attending GSU: * (Selection is Required)
  11.  
    Do you live on or off campus? * (Selection is Required)
  12.  
    Do you need accommodations for any of the following? Please check all that apply:
  13.  
    I understand that my request for accommodations cannot be approved until all documentation is submitted and approved by the Access and Accommodations Center. Detailed eligibility criteria can be found on our website at the link listed in the instructions. Please select your chosen method of submitting your documentation below: * (Selection is Required)
  14.  
    By submitting this form, I certify that the information provided is correct. I understand that in order to be eligible for accommodations at Georgia State, I must complete the interactive process by (1) submitting this completed registration form; (2) submitting supporting documentation that meets Board of Regents guidelines; and (3) completing an interview with an AACE Access Coordinator. * (Selection is Required)

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