Student Disability Services Application

Former College(s) Attended

How did you hear about us? Referral or Other?

Details/Note Secondary Disability

If YES – please provide details of your need and what service you’ve used before.

Please describe your disability and how it has helped or hindered your academic progress and your daily life activities to date.

Please describe any reasonable classroom accommodations you have used before, or think you need at Texas Tech University Health Sciences Center.

If you have previously used assistive technology, please list what technology was used. Also, explain how this technology helps support your academic progress.

Please describe any additional concerns you have or would like to discuss with the Student Disability Services staff.

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Driven by a Mission

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Driven by a Mission

Driven by a Mission

Driven by a Mission

Driven by a Mission

Driven by a Mission

Driven by a Mission

Driven by a Mission

Student Disability Services Application