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Whitworth University Educational Support ServicesInformation Needed for Student Request of Emotional Support Animal (ESA) Students Name: Date of Birth: Proposed ESA: Type of animal: Age of animal:
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01
Step 1: Start by gathering all the necessary documents and information required for student registration.
02
Step 2: Begin by filling out the personal information section, which includes the student's full name, date of birth, and contact details.
03
Step 3: Move on to the educational background section, where you will provide details about the previous schools attended, grades achieved, and any relevant qualifications.
04
Step 4: Fill in the medical information section, including any allergies, medications, or special health considerations the student may have.
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Step 5: Proceed to the emergency contact information section, ensuring to provide names, phone numbers, and relationships of individuals who can be reached in case of an emergency.
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Step 6: Finally, review all the filled information for accuracy and completeness before submitting the student registration form.

Who needs information needed for student?

01
Parents or guardians of the student
02
School administrators and staff responsible for student registration
03
Educational institutions and colleges requiring information for enrollment
04
Government agencies involved in student welfare and education

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