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Online Student Application

Two easy steps to register
Welcome!

If you are an incoming or current student, the first step in registering with Disability Services is to self-identify as a student with a disability and request accommodations.

Step 1- Complete this Application
Answer all questions as thoroughly and completely as possible. The information you provide is helpful to us in determining your needs and developing accommodations.

Step 2 - Submit Documentation
Submit medical documentation from a licensed professional to support your request. Your medical provider can complete our Documentation Request Form or provide the same information on their professional letterhead.

Since disability documentation will look different for each individual student, please review our Documentation Guidelines, and contact us at any time with questions.

If you are not able to upload documentation right away, you may provide it at a later date. Please note: your file will be held as “pending” until we receive your documentation.

Step 3 - Meet with a Disability Services staff member
After we review your documentation, a Disability Services staff member will contact you to schedule a meeting. This first meeting will be an interactive session designed to give our office a narrative of your disability and to determine your access and accommodation needs. We will review all accommodation policies and procedures as well as your student rights and responsibilities.

A Note on Confidentiality:
Medical documentation provided through myDSP is reviewed only by Disability Services staff. Medical documentation provided to Disability Services by mail, in-person delivery, fax, or by uploading to myDSP, is stored separately from student's academic records.

If you require assistance with this application or have questions about how to apply, please email us at disability@msmu.edu or call us at (310)954-4142.
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.
  4. Hint: Enter 7 numeric characters.
  5. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only – this should be your preferred/direct line.
Local Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
  1. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Affiliation(s)
  2. Ethnicity(ies)
  3. Campus Location(s)
Questions
  1. Please specify the duration of your disability. *
  2. Please select your academic program.
  3. Please choose one. *
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