SAR Enrollment Application

UWF Student Accessibility Resources (SAR) Application

UWF students with disabilities who would like to request services and accommodations must self-identify by completing this SAR Application. Students must provide complete information concerning the nature of the disability, specific needs and any support services required. Alternate formats for this application are available upon request.

***Prior to submitting this application to SAR, students must be formally admitted to the University of West Florida.

Required fields are marked with an asterisk.

First Term Requesting ServiceRequired *

YearRequired *

First NameRequired *

Preferred Name

Middle Name

(Optional)

Last NameRequired *

UWF Student IDRequired *

Phone NumberRequired *

(###) ###-####

Alternate Phone Number

(###) ###-#### (Optional)

UWF EmailRequired *

All UWF Communication will be sent to student's UWF Email account.

Type of DisabilityRequired *

Select All That Apply

Learning Disability

Learning Disability: Information Processing Disorder: Auditory Processing Disorder

Learning Disability: Dyscalculia

Learning Disability: Dysgraphia

Learning Disability: Dyslexia

Learning Disability: Dyspraxia

Learning Disability: Information Processing Disorder

Learning Disability: Information Processing Disorder: Visual Processing Disorder

Learning Disability: Other Learning Disorder

Attention-Deficit/Hyperactivity Disorder

Attention-Deficit/Hyperactivity Disorder: Combined Type

Attention-Deficit/Hyperactivity Disorder: Hyperactive Type

Attention-Deficit/Hyperactivity Disorder: Inattentive Type

Autism Spectrum

Blind / Low Vision

Deaf / Hard of Hearing

Medical

Orthopedic

Other Health Condition

Physical

Psychological / Emotional

Speech / Language

Traumatic Brain Injury

If Other Health Condition, please specify

Explain the functional impact of the disability on your academic performance.

Explain the functional impact of the disability on your activities of daily living.

What accommodation(s) are you requesting?Required *

Academic Background

Did you receive any type of special educational services while in high school?Required *

Did you receive any type of special educational services while in high school? Yes Did you receive any type of special educational services while in high school? No

Please specify the servicesRequired *

Are you a transfer student from another college?Required *

Are you a transfer student from another college? Yes Are you a transfer student from another college? No

Did you receive any type of speical accommodations at a previous college?Required *

Did you receive any type of speical accommodations at a previous college? Yes Did you receive any type of speical accommodations at a previous college? No

Please specify the accommodationsRequired *

Substitution & Waivers

Based on your disability, have you been granted substitutions or waivers for required courses at another college?Required *

Based on your disability, have you been granted substitutions or waivers for required courses at another college? Yes Based on your disability, have you been granted substitutions or waivers for required courses at another college? No

Required Course #1

Substitution Course #1

Required Course #2

Substitution Course #2

Waiver Course #1

Waiver Course #2

Voter Registration

If needed, SAR staff can provide assistance with voter registration.

Are you registered to vote?Required *

Are you registered to vote? Yes Are you registered to vote? No

Would you like to apply to register to vote?Required *

Would you like to apply to register to vote? Yes Would you like to apply to register to vote? No

Would you like to update your registration record?Required *

Would you like to update your registration record? Yes Would you like to update your registration record? No

Upload disability documentation.

Student must provide appropriate and current documentation for EACH disability for which services are being requested.

SAR Enrollment Application

UWF Student Accessibility Resources (SAR) Application

Academic Background

Substitution & Waivers

Voter Registration

Document Information