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Welcome to the Student Disabilities Services online site. If you are in need of accommodations, please fully complete the Student Disabilities Services request 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:
https://elgin.edu/about-ecc/college-administration/college-procedures/student-academic-records-policy/
Personal Information
Start Term
*
:
Select One
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Spring
2035 - Summer
2035 - Fall
2036 - Spring
2036 - Summer
2036 - Fall
2037 - Spring
2037 - Summer
2037 - Fall
2038 - Spring
2038 - Summer
2038 - Fall
2039 - Spring
2039 - Summer
2039 - Fall
2040 - Spring
2040 - Summer
2040 - Fall
2041 - Spring
2041 - Summer
2041 - Fall
2042 - Spring
2042 - Summer
2042 - Fall
2043 - Spring
2043 - Summer
2043 - Fall
2044 - Spring
2044 - Summer
2044 - Fall
2045 - Spring
2045 - Summer
2045 - Fall
2046 - Spring
2046 - Summer
2046 - Fall
2047 - Spring
2047 - Summer
2047 - Fall
2048 - Spring
2048 - Summer
2048 - Fall
2049 - Spring
2049 - Summer
2049 - Fall
2050 - Spring
2050 - Summer
2050 - Fall
Note: Select when you would like to start your services.
Expected Graduation Term:
Select One
2015 - Spring
2015 - Summer
2015 - Fall
2016 - Spring
2016 - Summer
2016 - Fall
2017 - Spring
2017 - Summer
2017 - Fall
2018 - Spring
2018 - Summer
2018 - Fall
2019 - Spring
2019 - Summer
2019 - Fall
2020 - Spring
2020 - Summer
2020 - Fall
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Spring
2035 - Summer
2035 - Fall
2036 - Spring
2036 - Summer
2036 - Fall
2037 - Spring
2037 - Summer
2037 - Fall
2038 - Spring
2038 - Summer
2038 - Fall
2039 - Spring
2039 - Summer
2039 - Fall
2040 - Spring
2040 - Summer
2040 - Fall
2041 - Spring
2041 - Summer
2041 - Fall
2042 - Spring
2042 - Summer
2042 - Fall
2043 - Spring
2043 - Summer
2043 - Fall
2044 - Spring
2044 - Summer
2044 - Fall
2045 - Spring
2045 - Summer
2045 - Fall
2046 - Spring
2046 - Summer
2046 - Fall
2047 - Spring
2047 - Summer
2047 - Fall
2048 - Spring
2048 - Summer
2048 - Fall
2049 - Spring
2049 - Summer
2049 - Fall
2050 - Spring
2050 - Summer
2050 - Fall
Note: Select when you plan to graduate.
First Name
*
:
Last Name
*
:
Middle Name:
Student ID:
Hint: Enter 7 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender
*
:
Select One
Female
Male
Other/Not Specified
Contact Information
Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address
*
:
Hint: student.elgin.edu address.
Additional Information
Primary Disability
*
:
Select One
=== General Category ===
ADD/ADHD
Autism
Hard of Hearing/Deaf
Health
Intellectual Disability
Learning Disability
Low Vision/Blind
Mobility/Physical
Other
Psychological
Speech
Temporary Disability
Traumatic Brain Injury
Secondary Disability(ies)
General Category
ADD/ADHD
Autism
Hard of Hearing/Deaf
Health
Intellectual Disability
Learning Disability
Low Vision/Blind
Mobility/Physical
Other
Psychological
Speech
Temporary Disability
Traumatic Brain Injury
Other Disability or Note:
Seeking Degree:
Select One
Associates Degree
Certificate
Continuing Education Program (Non-Credit)
Affiliation(s)
300+ Program
Connections Program
Dual Credit Program
SAIL Program
TRiO
Veteran
Ethnicity(ies)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Other/Not Reported
White
Additional Note:
Questions
How does your disability impact you in educational environments?
Speaking
Hearing
Breathing
Seeing
Walking/standing
Lifting/carrying
Sitting
Interacting with others
Sleeping
Reading
Writing
Spelling
Math
Processing speed
Memorizing
Concentrating/focusing
Listening
Time management
Organization
Other--Specify below: (Specify Below)
Additional Note or Comment
Have you received accommodations in the past?
*
Yes (Specify Below)
No
I don't know
Additional Note or Comment
What accommodations are you requesting at Elgin Community College? If you are not sure of what accommodations that you need, please write, "I don't know."
*
I am knowledgeable about my right to an accessible experience on campus.
*
Strongly disagree
Disagree
Somewhat disagree
Neutral
Somewhat agree
Agree
Strongly agree
Additional Note or Comment
I am confident in my ability to request accommodations.
*
Strongly disagree
Disagree
Somewhat disagree
Neutral
Somewhat agree
Agree
Strongly agree
Additional Note or Comment
I have a positive view of my accommodations.
*
Strongly disagree
Disagree
Somewhat disagree
Neutral
Somewhat agree
Agree
Strongly agree
Additional Note or Comment
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