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CC CUA DISABILITY SUPPORT SERVICES Release of Information FIRST NAME: SSN: LAST NAME: STUDENT ID: DOB: / / By signing this document, I acknowledge the following and hereby authorize use or disclosure
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How to fill out cccua disability support services

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How to Fill Out CCCUA Disability Support Services:

01
Visit the CCCUA website and navigate to the Disability Support Services page.
02
Download and print the CCCUA Disability Support Services application form.
03
Complete all required fields on the application form, including personal information, contact details, and any relevant medical or disability information.
04
Attach any supporting documentation, such as medical records or diagnostic assessments, that may help provide further information about your disability or condition.
05
Review the completed application form and supporting documents to ensure accuracy and completeness.
06
Submit the completed application form and supporting documents to the designated CCCUA Disability Support Services office.
07
Wait for a response from CCCUA Disability Support Services regarding your application. They may request additional information or schedule an interview to discuss your needs further.
08
Once your application is approved, work with CCCUA Disability Support Services to determine the appropriate accommodations or services you may need.
09
Stay in communication with CCCUA Disability Support Services throughout your enrollment, providing updates on your disability or any changes to your needs.
10
Take advantage of the resources and support available through CCCUA Disability Support Services to ensure your academic success.

Who Needs CCCUA Disability Support Services:

01
Students with physical disabilities that may require assistance with mobility, accessing facilities, or using assistive technology.
02
Students with sensory disabilities, such as visual or hearing impairments, who may need accommodations in class or access to specialized equipment.
03
Students with developmental disabilities, learning disabilities, or mental health conditions that may require additional support, such as extra time for exams, note-taking assistance, or counseling services.
04
Students with chronic illnesses or medical conditions that may require accommodations, such as breaks during class, flexible attendance policies, or access to medical equipment.
05
Students with temporary disabilities, such as injuries or recovery from surgery, who may need short-term assistance or accommodations until they regain full function.
06
International students with disabilities who may need assistance navigating the campus or accessing specialized services.
07
Any student who believes they may benefit from CCCUA Disability Support Services should inquire and apply to determine eligibility and explore available resources.
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CCCUA disability support services are services provided to individuals with disabilities to help them succeed in their academic pursuits.
Students with disabilities who require accommodations and support services are required to file CCCUA disability support services.
To fill out CCCUA disability support services, students need to submit a request for accommodations along with documentation of their disability to the disability support services office.
The purpose of CCCUA disability support services is to ensure that students with disabilities have equal access to educational opportunities and can succeed in their academic endeavors.
The information reported on CCCUA disability support services includes the student's disability documentation, requested accommodations, and any additional support services needed.
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