Student Disability Disclosure Form

* indicates a required field

Student Information

Please note: Documentation of your disability will be required to complete this form. Please have documents ready. Click here to view disability-specific documentation guidelines.

Include any leading zeroes (ex: 0000000)
Please use your university issued email address
Are you the first person in your family to attend college?
Are you a non-degree student?
Are you a transfer student?
Are you attending WCU for summer session(s) only?
Are you receiving financial aid?
Do you live on campus?

Disability/Diagnostic Information

Choose all that apply
{"display_name":"Select your disability\/disabilities","hidden_field_name":"ms_field_1","init_id":"ms_field_1","init_link":"","has_autocomplete":false,"has_hierpicklist":null}
Choose all that apply
{"display_name":"Check any of the Life Activities listed below that you believe are affected as a result of your diagnosed condition(s)","hidden_field_name":"ms_field_2","init_id":"ms_field_2","init_link":"","has_autocomplete":false,"has_hierpicklist":null}

Accommodation Information

Have you received accommodations previously?
Upload supporting document(s)Required