Initial Inquiry Form

Welcome to Disability Support Services! Initial accommodation requests and documentation is accepted throughout the semester. To ensure accommodations are in place at the beginning of the semester, we recommend turning in your information 4 to 6 weeks before classes start. If you have any questions during or after you have submitted your initial inquiry, please reach out to us at 919-866-5670 or send an email to us at dss@waketech.edu. We look forward to supporting your accessibility needs.

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Student Information

Please enter your information

First Name

Last Name

Middle Name

Preferred Name

Pronouns

Student ID

Wake Tech Email

Please use your college email address that ends with '@my.waketech.edu'

Phone Number

Please list the best number to reach the student

What program are you currently enrolled in or are interested in?

What campus will you be taking your classes on?

Specific Accommodation Information

Documented Disabilities/Medical Conditions

Is this a short-term or temporary condition (e.g., broken limb, recovery from surgery)?

If you have a Learning Disability please list the Subject area

If you have an Orthopedic Impairment please list any assistive devices you utilize

If you have a visual impairment please indicate which assistive technologies you utilize.

What accommodations have you received in the past and where (i.e., high school, other colleges)?

What accommodations are you seeking from Disability Support Services?

How does your disability impact you in the classroom?

Do you experience any side effects from medications that may impact your education? Please elaborate.

Please upload supporting document(s) (e.g. medical documentation, IEP or previous accommodation plans)

All Documentation Guideline Forms can be found here.

Please be sure to review your information before submitting the form. Once submitted, you cannot make changes.

Initial Inquiry Form

Student Information

Specific Accommodation Information

Document Information