Registration Form

Welcome to The Center for Accessibility and Disability Resources at UW Oshkosh!

Welcome to the Center for Accessibility and Disability Resources (CADR) where we are committed to creating an inclusive and supportive environment for all students. Our mission is to ensure that every student, regardless of their abilities, has equal access to educational opportunities.

The CADR plays a vital legal role in upholding the rights of students with disabilities, in accordance with the Americans with Disabilities Act (ADA) and other relevant laws. We are here to advocate for your rights, providing guidance, accommodations, and resources to help you thrive academically and personally.

Our interactive process begins by working closely with each student to understand their unique needs and challenges. We believe in collaborative solutions, tailoring support to your specific requirements. Your input and feedback are essential, and we’re here to listen and learn from you.

We are your allies in navigating the educational journey, ensuring that you can fully engage with the learning process and reach your fullest potential.

We are here to support you every step of the way.

If you have any questions or issues registering, please call (920) 424-1033 or visit us in Clow North 201.

First Name

Last Name

Name Used

Pronouns

Permanent Address

Student ID

Please use your UW Oshkosh student provided identification number.

If you have not been issued a UW Oshkosh student identification number, please contact the Center for Accessibility and Disability Resources by phone or email.

Phone: 920.424.1033 Email: accessibilitycenter@uwosh.edu

Preferred Method of Contact

Phone Number

Would you like to receive text message reminders?

Email

Please use your UW Oshkosh student provided email address.

If you have not been issued a UW Oshkosh student email, please contact the Center for Accessibility and Disability Resources by phone or email.

Phone: 920.424.1033 Email: accessibilitycenter@uwosh.edu

Academic Information

Campus

Current Class Status

Disability Information

Please select your Primary Disability

Please select your secondary disability(ies).

Please select your tertiary disability(ies)

If other (explain below):

Documentation Request

UW Oshkosh is a member of the Association of Higher Education & Disability (AHEAD). The Accessibility and Disability Resource Center uses their expertise and guidance when it comes to supporting documentation for accommodations. AHEAD Documentation Guideline Guidance.

In order to be determined eligible to receive accommodation services, the student must submit documentation from a qualified professional that verifies that a condition exists that substantially limits a major life activity (i.e. walking, seeing, breathing, hearing, learning, communicating, etc.). While IEP and 504 plans are welcome, they may not be sufficient documentation for eligibility purposes, depending upon the content and the identified disability.

To request a disability-related accommodation, you need to provide documentation that explains your condition and how it affects your daily activities. This documentation typically comes from a healthcare provider and should include:

• Diagnosis: A clear statement of your disability.

• Functional Limitations: How your condition impacts your daily life and academic activities.

• Recommended Accommodations: Suggestions for specific accommodations that would help you overcome these limitations.

Documentation Guidelines and Forms

If you have additional questions, please use the Center for Accessibility and Disability Resources Library for information regarding services, accommodations, and more.

If you need help obtaining documentation, visit the UW Oshkosh Student Health Center.

If you lack documentation, please proceed with completing registration and requesting an intake appointment. The Center Accessibility and Disability Resources will endeavor to assist you to the best of its ability.

Upload Documentation:

Accommodations Request:

What accommodation(s) are you requesting?

Please provide more details about the accommodation(s) you’re requesting:

Submission of this request does not imply you will receive services. In addition to this application, in order to be eligible for disability related services, students must have a documented disabling condition as defined by the Americans with Disabilities Act of 1990 (ADA), ADA Amendments Act 2009 and Section 504 of the Rehabilitation Act of 1973.

Make sure to schedule an appointment with the Accessibility Coordinator to go over the documentation and discuss the accommodations you are requesting.

Authorization

I give my permission for information regarding my Individualized Accommodation Plan to be shared with the following individuals. I understand that I can submit a written statement revoking or changing this authorization at any time.

Authorization - Parent or Guardian:

Authorization - Academic Advisor:

Authorization - Other:

Project Success Information

Consider applying to Project Success in conjunction with the Center for Accessibility and Disability Resources.

Project Success is a remedial program for students with dyslexia and other language-based learning disabilities attending UW Oshkosh. Project Success provides individualized support in the form of organizational tutoring, which assists students with executive function skills. The program is one of the few university programs in the country that provides individualized support to students to promote academic independence. The program also provides an opportunity for students to prepare for college through the annual summer bridge program.

Are you interested in registering with Project Success (dyslexia, language-based or learning disability, or ADHD)?

Title IX Information

The Title IX Discrimination and Sexual Misconduct Office at UW Oshkosh affords supportive measures and accommodations for pregnant and parenting students and students impacted by sexual harassment, sexual assault, domestic violence, dating violence, stalking, and all forms of sex discrimination. Students are not required to disclose this type of private information outside of the Title IX Office. Meeting with the Title IX Office will ensure that students are informed of their rights and does not initiate an investigation.

All staff members at the Center for Accessibility and Disability Resources are required to report under Title IX.

Referral Source:

Student Signature

Date