Office Of Accessibility Services - Registration Form
Name
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First Name
Last Name
Student ID Number
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Birth Date
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Month
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Day
Year
Date
I am a:
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Degree Seeking Student
Nondegree Seeking Student
High School Student
BRCTC Email
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example@example.com
Mobile Number
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Please enter a valid phone number.
What is your program of study?
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What is/are your preferred methods of communication?
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Phone
Email
Text
Back
Next
Background Information
Have you been diagnosed with a disability or health condition? If yes, please list diagnoses below. If no, please explain why you think you may have a disability.
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Describe how the condition impacts you.
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What accommodations have you had previously at other schools and/or standardized exams?
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Select the accommodations you feel are the most appropriate to support your academic success:
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Extended Test Time (1.5x)
Note Taking Assistance
Test in Private
Priority Seating
Record Lectures
Use of Calculator
Other
Is there any other information you feel would be helpful for us to know?
SUBMITTING DOCUMENTATION
The mission of the OAS is to ensure equal access to the college experience by facilitating supportive resources and educational programming to remove barriers from education. Sharing your disability and educational experiences by providing documentation or additional information supports the OAS in determining appropriate accommodations and services. The more information you share, the more it will help us in working with you. Supporting documentation of a disability and the impact on one or more major life activities may include assessments, letters from qualified professionals, IEPs/504 plans, accommodation letters from other colleges or testing organizations, and documentation from the uniformed services. If you have difficulty obtaining supporting documentation, please contact access@blueridgectc.edu.
In order to best understand your needs and prepare your accommodations, you are encouraged to submit as much information/documentation as possible.
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Intake Meeting
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Use this Appointment Link to schedule a virtual or in-person intake meeting - https://studentsuccessmeetingscheduler.as.me/schedule.php?calendarID=4109938
Contact Access@blueridgectc.edu if you need help making an appointment or there are no times available that meet your needs.
I understand it is my responsibility to meet the same level of academic standards as all students. The purpose of an accommodation is to assist but not dilute a course’s requirements. To do otherwise would decrease the credibility of the institution and would also be unfair to the student
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Agreed
I understand I can file a grievance using the Grievance Procedure if I believe I have been treated unfairly. I can access the Grievance Procedure by visiting the Blue Ridge CTC website.
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Agreed
I have reviewed the Accessibility Services Student Handbook.
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Agreed
I understand registering with the Office of Accessibility Services is an interactive process. I may be asked to provide additional information/documentation.
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Agreed
Signature
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Register
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