Georgia State University Access & Accommodations Center

Applications Application

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Applications Application

Application Information

Campusrequired field:

Start Termrequired field:

Personal Information

First Namerequired field:

Preferred Name:

Middle Name:

Last Namerequired field:

School ID:

Hint: Enter 9 alpha numeric characters.

Contact Information

@student.gsu.edurequired field:

Email Address (Secondary):

Hint: The system will not send email to the secondary email address. This field is used to record additional student email addresses. For security purposes, we do not recommend sending email to student personal email address.

Primary Phone Number:Specify country code for Primary Phone NumberSpecify Primary Phone Number

List of Questions

Date of Birth

Emailrequired field

Phonerequired field

I amrequired field

a current student at Georgia State University.

planning to enroll at Georgia State university.

thinking about attending Georgia State university.

Other (Additional Comment Required)

Additional Comment:

The best way to reach me isrequired field

by email

by phone (It's ok to leave a message)

by phone (please, don't leave a message)

Other (Additional Comment Required)

Additional Comment:

When is the best time to contact yourequired field

I am requesting accommodations becauserequired field

I have a documented disability

I have a temporary disability

I have a history of accommodations (Additional Comment Required)

I think I have a disability that is impacting me in one or more major life activities, but I don't have documentation and/or a diagnosis (Additional Comment Required)

I'm not sure but I have questions (Additional Comment Required)

Additional Comment:

The disability that impacts/may impact my ability to access courses at Georgia State University is....required field

Have you previously received accommodations either at work or at school? If so, what were they and how did they help or not help?required field

What barriers have you experienced, or do you anticipate experiencing in your classes at Georgia State University?required field

There are many resources both on and off campus that students utilize to increase their academic success. Examples include family, friends, psychologists, academic resource centers, individual tutors, etc. What are some of the resources available to you that you plan on accessing while studying at Georgia State University?required field

Vocational Rehabilitation

Case manager

Individual Tutor (s)

Student Sucess Programs (TRIO, Learning and Tutoring Center, Academic Coaching)

Other (Additional Comment Required)

Additional Comment:

Form Submission

Question?

Access & Accommodations Center (AACE)
Georgia State University
Tel: 404-413-1560 | Fax: 404-413-1563