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Online Student Application

Two easy steps to register
Welcome to the Student Access & Disability Services online site. If you are in need of accommodations, please fully complete the Student Access & Disability Services registration form, which is below. This will help us serve you better!

Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA). For more information on FERPA, please visit the ECC Student Academic Records webpage.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 7 alpha numeric characters.
  4. 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.
  3. Hint: address.
Additional Information
  1. Secondary Disability(ies)

    General Category

  2. Affiliation(s)
  3. Ethnicity(ies)


    How does your disability impact you in educational environments?
    Have you received accommodations in the past? * (Selection is Required)
    I am knowledgeable about my right to an accessible experience on campus. * (Selection is Required)
    I am confident in my ability to request accommodations. * (Selection is Required)
    I have a positive view of my accommodations. * (Selection is Required)
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