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

Online Student Application

Two easy steps to register
This form is designated for academic accommodation requests. Students needing housing related accommodations must complete the Online Housing Application in addition to this form.

Johnson & Wales University is committed to equitable access to programs and services for those with disabilities. This form gives you, the student, the opportunity to share the impact of your disability and to request accommodations to address your specific needs. Please note, information shared with Health Services, Student Accounts and Financial Services, Counseling Services, Faculty, etc. is not shared with Accessibility Services. Students must self-identify their disability and request accommodations from Accessibility Services.

Students will be directed to the documentation upload page after completing page one of this form and clicking "submit application."
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Please select campus location where you will be enrolled.
  3. Note: Select when you plan to graduate.
  8. Hint: Enter 9 alpha numeric characters.
  9. 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)

    ADHD/ADD

    Autism Spectrum Disorder

    Brain Injury

    Cognitive or Intellectual Disability

    General Category

    Health Impairment or Chronic Medical Condition

    Hearing Impairment

    Learning Disability

    Mobility Impairment

    Other

    Psychological or Psychiatric Condition

    Speech or Language Impairment

    Temporary Impairment

    Vision Impairment

  4. Campus Location(s)

Questions

  1.  
    College Program * (Selection is Required)
  3.  
    Is this your first semester at Johnson & Wales University * (Selection is Required)
  4.  
    Student Classification/Level * (Selection is Required)
  5.  
    Are you a transfer student? * (Selection is Required)
  6.  
    Are your a first generation college student * (Selection is Required)
  7.  
    Are you employed? * (Selection is Required)
  8.  
    Are you currently or have you previously served in the military? * (Selection is Required)
  9.  
    Are you receiving services from a community, state, or federal agency? (ex. Vocational Rehabilitation or Office of Rehabilitation Services) * (Selection is Required)
  10.  
    Please describe your secondary (K-12) education
The submission of this application is neither confirmation nor guarantee of eligibility or the provision of accommodations. This application, once submitted, initiates the accommodation request process. Accessibility Services will determine if the provided information and documentation is sufficient, whether the documented condition fits the legal definition of a disability, and whether an accommodation is appropriate, and, if so, what type of accommodation is appropriate. In making this determination, Accessibility Services will consult with faculty, other university employees, or other appropriate personnel as needed. If the appropriate personnel with whom Accessibility Services must consult are not faculty or other university employees, the student should provide Accessibility Services a release to allow Accessibility Services to discuss the matter with such appropriate personnel. If necessary, Accessibility Services staff will request additional documentation from the student.

Accessibility Services considers accommodations on a case-by-case basis. Accommodations may be available for certain activities, courses, or programs but not others. The determination of an accommodation, including whether or not to approve it, may depend in part on the nature of the activity, course, or program at issue.

Students acknowledge and agree they are ultimately responsible for their accommodations. The process for determining accommodations is interactive, therefore, by submitting this application the student agrees to be an active participant through its entirety.

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