Applications Application

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Applications Application

Introduction

Type: SCC DAS Student Application.

Spokane Community College is committed to ensuring equal access for students who experience disabilities, health conditions, and students who are pregnant or experiencing pregnancy-related conditions.

Complete this application to request accommodations.

Fields marked with an * are required. Please ensure that you have completed all required steps to submit your application.

You do not need to submit documentation with your application, but it is helpful if you do. For more information on documentation requirements, please visit the SCC DAS Disability Documentation webpage.

Your application is not considered complete until you have received the following email confirmation: "DAS - SCC RECEIPT – Disability Access Services has received your Application for Accommodations."

Once you submit your application, you will be contacted within 0-2 business days to schedule an Access Planning Meeting. In-person and Zoom options are available.

Application Information

What quarter do you want to start using accommodations?required field:

Personal Information

Preferred Namerequired field:

Legal Name:

Middle Name:

Last Namerequired field:

School IDrequired field:

Hint: Enter 9 alpha numeric characters.

Birth Daterequired field:

Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2025).

Gender:

Pronouns (e.g. she/her, they/them, he/him)required field:

Contact Information

Email Addressrequired field:

Email Address (Secondary):

Hint: The system will not send email to the secondary email address. This field is used to record additional student email addresses. For security purposes, we do not recommend sending email to student personal email address.

Primary Phone Numberrequired field:Specify country code for Primary Phone NumberSpecify Primary Phone Number

Secondary Phone Number:Specify country code for Secondary Phone NumberSpecify Secondary Phone Number

Local Address

Addressrequired field:

Cityrequired field:

State/Provincerequired field:

Zip Code/Postal Coderequired field:

Permanent Address

Address:

City:

State/Province:

Zip Code/Postal Code:

List of Questions

Question 1: You will be required to use your SCC Bigfoot email account to access the DAS accommodation management system. Follow this link for instructions to activate your SCC Bigfoot email account. Do you have access to your SCC Bigfoot email account?required field

Yes - Please enter your Bigfoot email address below to confirm. (Additional Comment Required)

No - I would like additional information and/or support to access my SCC Bigfoot email account.

Additional Comment:

Question 2: Please describe your disability(ies) and/or health condition(s).required field

Question 3: Please describe how your disability(ies) and/or health condition(s) impacts you in the educational environment.required field

Question 4: Have you received accommodations in the past? (e.g. accommodations at another college, IEP or 504 Plan in high school, etc.)?required field

Yes - Please describe below which accommodation(s) you utilized and which school provided the accommodation(s) (Additional Comment Required)

Additional Comment:

Question 6: If you have access to documentation of your disability and/or health condition, please list below.required field

Medical documentation

Mental health provider documentation

Neuropsychological evaluation

504 Plan and/or IEP

Accommodation Plan from another college or university

Governmental agency documentation (VA, DVR, DSB, L&I, etc.)

I am not sure how to access documentation

I don't have documentation

Other (Additional Comment Required)

Additional Comment:

Question 7: I would like to sign a Release of Information to give permission for DAS to communicate with, provide information to, and/or receive information from another person or organization outside of SCC.required field

Yes - Agency/resource counselor (DVR, DSB, L&I) (list names/organization below) (Additional Comment Required)

Yes - Parent, child, spouse, or other relative (list names and relation below) (Additional Comment Required)

Yes - Medical provider (list names/organization below) (Additional Comment Required)

Yes - Other (list names/organization below) (Additional Comment Required)

Additional Comment:

Question 8: Do you need accommodations (e.g. sign language interpreter) for your Accommodation Planning Meeting?required field

Yes (Additional Comment Required)

Additional Comment:

Question 9: Is there any other information you would like shared in your application? (Optional)

Form Submission

Question?

Spokane Community College Disability Access Services
1810 North Greene Street, MS 2151
Spokane, Washington 99217
Building 15, Room 113
Phone: (509) 533-7169 (Voice)
Video Phone: (509) 321-4406 (VP)
Fax: (509) 533-8877
Email: das@scc.spokane.edu