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Online Student Application

Two easy steps to register
Welcome to the Disability Services Request for Reasonable Accommodations form!

  • Please complete the following form. If you feel a question does not pertain to your request, please write "N/A".
  • You will also need to provide formal documentation of your disability. Documentation Guidelines are available on the Grove City College website ( or by emailing
  • Grove City College may require further documentation to substantiate the request for accommodation(s).
  • Please do not submit original copies of your documentation. All records received by the Disability Services Office at Grove City College will be destroyed seven years after last enrollment term.
  • For housing accommodation requests, please first review the relevant deadlines and full Housing Accommodation Policy available on the GCC website ( or by e-mailing
  • All information submitted to the Disability Services Office will be maintained and used in accordance with applicable confidentiality requirements.
  • Communication from the Disability Services Office will be made using the student's Grove City College email address as the primary mode.
  • Generally, both this form and supporting documentation must be received before a review will proceed. Upon receiving all necessary information for consideration, and barring exceptional circumstances or College closures, the Disability Services Office will reach out within 5-7 business days to schedule an initial interview with the student.
  • If you have questions or need assistance from staff to complete this form, please email or call 724-458-2586.

Note: If this application is requesting dietary accommodations, by submitting this application you are also granting approval for the Disability Services Office to share necessary information regarding your dietary concerns/needs with our Food Services team who collaborates on such requests.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  3. Hint: Enter 6 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.
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. Secondary Disability(ies)

    Attention Disorder

    Autism Spectrum Disorder

    Autoimmune Disorder



    General Category

    Learning Disability

    Mobility Disorders

    Psychological Disabilities

    Temporary Disabilities


  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Please select accommodations and services that you have received prior to registering with Disability Services at GCC. This can be accommodations and services provided at your High School or other College/University. If there are none, please leave any selections blank.

Prior Accommodations

Alternative Testing
Alternative Formats
Notetaking Services
Classroom Access
Please note this is not a comprehensive list of possible accommodations. If none of these are applicable to your situation, please leave any selections blank and describe your concerns/needs in the open-ended questions below instead.

Requesting Accommodations at DS

Alternative Testing
Alternative Formats
Notetaking Services
Classroom Access


    Please select the option below regarding how you plan to supply documentation. * (Selection is Required)
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