Registration Form

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Student Information

Please take a few moments to provide the following information. The information that you share will be kept in your confidential record and will be used to facilitate the accommodation process.

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If you don't currently have an ISU ID number please leave this field blank.
Birthdate
Please use your university issued email address
*

Specific Accommodation Information

Referred to Student Disability Resources by


















[Select]
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Degree of seriousness of the concerns with which you are dealing:(Required) *
1=not serious, 6=I am in crisis