UDSS Application for Services (5-13 ver.)
 
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Application for Services

 
 
 [press Ctrl+ to enlarge this application and Ctrl- to reduce]

Thank you for your interest in services from UDSS.

  • Please answer all the questions as carefully as you can.
  • There are a few questions with red stars (*) which must be answered.
  • Use the "Back" and "Next" buttons at the bottom of each page to navigate the Application.
  • Click "Cancel" to leave the survey without saving anything.
  • When you are finished with the last page, be sure to select the "Done" button to submit your Application.

You will receive correspondence from UDSS regarding your Application within 7-10 days.


 
 

 
  University Disability Support Services
University of Wyoming

This application is used to help determine eligibility for and to identify, necessary disability-related accommodations. Disabling conditions may include, but are not limited to: mobility impairments, multiple sclerosis, cerebral palsy, chemical sensitivities, spinal cord injuries, cancer, AIDS, speech disorders, muscular dystrophy, hand function limitations, spina bifida, deafness, hearing impairments, blindness/low vision or other chronic medical conditions. Other conditions may include specific learning disabilities, psychiatric/psychological disorders, brain injuries, seizure disorders, Autism Spectrum Disorder, attention deficit disorders, and rehabilitated drug addiction/alcoholism. Please complete this form carefully and completely. If you have any questions regarding application items, contact the UDSS office.
   
  If you need this application provided in an alternative format (e.g. taped, Braille, enlarged, on disk) or need assistance completing it, contact the UDSS office.

   
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2.
*
(Temporary means expected to last less than six months)
      

    
    
   
 
 
 
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