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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. You will also need to provide formal documentation of your disability.
  • Documentation Guidelines are available on the Grove City College website (http://www.gcc.edu/Home/Experience-the-Grove/Campus-Life/Disability-Services) or by emailing BrownZT@gcc.edu.
  • Grove City College may require further documentation to substantiate the request for accommodations
  • All information submitted to the Office of Disability Services (ODS) will be maintained and used in accordance with applicable confidentiality requirements.
  • Please do not submit original copies of your documentation. All records received by ODS at Grove City College will be destroyed seven years after last enrollment term.
  • Communication from ODS will be prompt, using the student's Grove City College email address as the primary mode.
  • Both this form and supporting documentation must be received before a review by ODS will proceed.
  • If you would like to meet or converse with ODS staff prior to submitting a request, please email BrownZT@gcc.edu
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 (i.e. enter 9998888888 for 999 888 8888).
  2. Hint: Enter 10-digit number only (i.e. enter 9998888888 for 999 888 8888).
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

    Deaf/HOH

    Dietary

    General Category

    Learning Disability

    Mobility Disorders

    Psychological Disabilities

    Temporary Disabilities

    Vision

  2. Affiliation(s)
  3. Ethnicity(ies)
  4. Campus Location(s)
Please select accommodations and services that you have received prior to registering with our ODS. 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

Requesting Accommodations at DS

Alternative Testing
Alternative Formats
Notetaking Services
Classroom Access
Questions
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