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Online Student Application

Two easy steps to register
Hello, and thank you for your interest in participating in the Lake Tahoe Community College Student Accessibility Services. New students must fill out an intake form and provide documentation at least two weeks before the accommodations are needed.
In order for SAS to best meet your needs please fill out this application as accurately and specifically as possible. Upon submission, you will be contacted by phone to set up an appointment with SAS staff.

We look forward to meeting with you!
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 7 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.
Additional Information
  2. Secondary Disability(ies)

    Acquired Brain Injury

    ADHD

    Autism Spectrum

    Deaf/Hard of Hearing

    General Category

    Intellectual/Developmental Disability

    Learning Disability

    Mental Health

    Mobility

    Vision

  4. Affiliation(s)
Please check all the accommodations you have used previously:

Prior Accommodations

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Notetaking Services
Classroom Access
Assistive Technology/Software
Please check all the accommodations you are requesting from SAS:

Requesting Accommodations at SAS

Alternative Testing
Alternative Formats
Deaf and Hard of Hearing
Internal Only
Notetaking Services
Classroom Access
Assistive Technology/Software

Questions

  2.  
    Check specific areas of difficulty (reading/writing):
  3.  
    Check specific areas of difficulty (math):
  4.  
    Did you have an IEP/504 Plan in high school * (Selection is Required)
  5.  
    Have you ever attended Special Education or remedial classes * (Selection is Required)
  6.  
    If yes, in what grades did you attend special education classes
  7.  
    Are you currently taking medications related to your disability? * (Selection is Required)
  8.  
    Do you have a history of Substance Abuse? * (Selection is Required)
  9.  
    Are you currently involved in individual or group therapy? * (Selection is Required)
  10.  
    Are you currently seeing a physician/psychiatrist * (Selection is Required)

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