Skip to Main Content Skip to Tabs Skip to Sub-Tab Navigation

Online Student Application

Two easy steps to register
Welcome to Spokane Community College (SCC) Disability Access Services (DAS). DAS provides reasonable accommodations and services to students with disabilities. To receive services and accommodations, you must register with the DAS office.

  • Complete the DAS application form located below to register for an intake appointment.

  • If you would like to inquire about services, but not necessarily apply for services, please contact the DAS office to schedule an informational session. Contact information for the DAS office can be found at the bottom of this webpage.

  • This application is to be completed by the individual applying for services. If at any time you require assistance obtaining information, documentation, or navigating the DAS online process or would like any forms in an accessible format, please contact the DAS office at 509-533-7169 or DAS@scc.spokane.edu.

  • Questions with a red asterisk are required. You will be unable to submit your application until all required questions have been answered. Incomplete applications do not save in the system.

  • For questions with multiple checkboxes, select any that apply.

  • Please use your Bigfoot email address. When this application is submitted successfully you will receive an email confirmation at your Bigfoot email address. If you do not receive a confirmation email (please check your spam folders as well) within 2 business days, please contact our office at 509-533-7169 or DAS@scc.spokane.edu. If you need assistance accessing your Bigfoot email address, visit the SCC Bigfoot Email Help Webpage.

  • Once you have submitted the application form, you will have the opportunity to upload your disability-related documentation. You will also receive an email receipt with a link to upload the documentation at another time if you prefer. Please see documentation guidelines on the DAS website. We recognize every situation is unique. If you do not have documentation for your disability, please still apply. If you believe a school, healthcare provider, or other organization has documentation related to your disability and you have not been able to obtain this documentation, please complete information in Question 11 related to completing a Release of Information.

  • 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 CCS Student Rights and Responsibilities Webpage.

Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 9 alpha numeric characters.
  8. 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
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Mailing Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  1. Please Identify Your Disability (select all that apply)

    1 - Deaf/Hearing

    2 - Mobility

    3 - Speech/Language

    4 - Learning Disability

    5 - Vision

    6 - Chronic/Acute Health

    7 - Neurological

    8 - Psychological/Emotional

    9 - Other

  3. Affiliation(s)
  4. Ethnicity(ies)
  5. Campus Location(s)

Questions

  2.  
    Do any medications for your disability impact your college experience (eg: sleep schedule, brain fog, time-release response, etc.)? * (Selection is Required)
  3.  
    Do you have disability-related documentation from a professional source (e.g. school, therapist, medical provider, etc.) * (Selection is Required)
  5.  
    Are you dually enrolled at SFCC and SCC? * (Selection is Required)
  6.  
    Are you currently experiencing any academic or personal challenges? * (Selection is Required)
  7.  
    Have you received accommodations in the past? (e.g. accommodations at another college, IEP or 504 Plan in high school, etc.)? * (Selection is Required)
  8.  
    Please identify the accommodations you are requesting.
  9.  
    Are you confident in your ability to communicate your disability-related accommodations to others? * (Selection is Required)
  10.  
    Are you confident in your ability to communicate about your disability and its impacts? * (Selection is Required)
  11.  
    I would like to sign a Release of Information to give my permission for DAS to communicate with, provide information to, and/or receive information from another person or organization (e.g. DVR, DSB, L&I counselor, parent, child, advocate, spouse, caseworker, etc.). * (Selection is Required)
Agreement

Please read and review the following statements. Check each box indicating that you have read and understand each statement.

Licensed to Accessible Information Management LLC Copyright © 2010-2024 by Haris Gunadi. All rights reserved.