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Online Student Application

Two easy steps to register
Welcome to the Office of Disability Services at Walters State Community College! Once you've submitted your application and documentation of your disability, we'll work with you to eliminate barriers and improve access in your classes. We'll also communicate with you about your next steps.

Please note the following:
-All communication from our office will be sent to your official Walters State email address.
-Both this form and appropriate documentation must be received before our work together can proceed.
-We sometimes request additional documentation to support accommodation requests.
-We recommend accommodations based on the information you provide.
-It is your responsibility to notify us if your accommodations are not effective, so we can help you identify the barriers to your success.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: 8 digit number starts with W.
  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.
Additional Information
  2. Secondary Disability(ies)

    Attention Disorder

    Autism Spectrum Disorders

    Chronic Illness

    Deaf-Blind

    Deaf/HoH

    General Category

    Intellectual Disability

    Learning Disability

    Mobility Impairment

    Neurological Impairment

    Other

    Psychological/Psychiatric Impairment

    Temporary Disability

    Visual Impairment

  4. Affiliation(s)
  5. Campus Location(s)
Please specify if you've previously used any of the following services. These may have been services provided at your high school or another college/university. If none of these apply. please leave blank.

Prior Accommodations

Alternative Formats
Communication Access
Assistive Technology
Lecture Material Access
Please select any of the following services you intend to request from our office. We need advance notification for these services since they may require additional planning. If none of these apply, please leave blank.

Requesting Accommodations at ODS

Alternative Testing
Alternative Formats
Communication Access
Others
Notetaking Services
Classroom Access
Assistive Technology
Accessible Furniture
Lecture Material Access

Questions

  1.  
    Select all of the following classroom activities that create barriers for you.
  2.  
    Select all of the following skills that are problematic for you.
  3.  
    Select all of the following life situations that make it difficult for you to do well in school.
  4.  
    Do you authorize the Office of Disability Services to discuss with your Parent/Guardian/Spouse your academic progress, or lack of academic progress, social issues, or any issues pertinent to your success at Walters State College? - If yes, please specify their Name, Phone Number, and Email Address in the Additional Note or Comment * (Selection is Required)
Walters State Community College does not discriminate on the basis of race, color, religion, creed, ethnicity or national origin, sex, disability, age, status as a protected veteran or any other class protected by Federal or State laws and regulations and by Tennessee Board of Regents policies with respect to employment, programs, and activities. The following person has been designated to handle inquiries regarding nondiscrimination policies: Jarvis Jennings, Executive Director of Human Resources/Equity Officer, jarvis.jennings@ws.edu, Walters State Community College, 500 S. Davy Crockett Pkwy Morristown, TN 37813, 423-585-6845. An Affirmative Action/Equal Opportunity Employer. We comply with Title IX of the Education Amendments of 1972, the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990.

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