ODS Pre-Registration

Student Self-Assessment

Name/Class ______________________

Date completed ____________________

1.   What is your disability, and when was it first diagnosed?

2.   What disability-related accommodations have you used in the past – either in or out of the classroom?   

3.   What accommodations do you anticipate needing this semester?

4.    Who referred you to ODS - or did you come independently (via self referral)?

ODS

8/09
 

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