Contact Us

Pages: DSPS-Forms

Version HistoryVersion History

Name

DSPS-Forms

Title

DSPS Forms

Comments

 

Contact

Tran Nguyen, Angela

Contact E-Mail Address

 

Contact Name

 

Contact Picture

 

Rollup Image

 

Target Audiences

No targeting

Page Image

 

Page Content

CONSENT FOR RELEASE OF INFORMATION FORM (PDF)

Select this link to print and fill out this form. 
​A signed authorization from the student is necessary in order to send the disability records to another agency or educational institution.
​CONSENT FOR REQUEST OF INFORMATION FORM (PDF)

Select this link to print and fill out this form.
​​Students are responsible for requesting Disabled student Programs & Services (DSPS) services and for providing appropriate disability verification from a qualified professional.
Disability Verification Form (PDF)
Select this link to print and fill out this form
​Complete the top portion of the Disability Verification form and give it to your certifying health professional.  This form must be submitted to DSPS in order to receive services and accommodations.
DSPS APPLICATION FOR SERVICES FORM (PDF)

Select this link to print and fill out this form. 
​DSPS provides educational services and access for eligible students with documented disabilities who intend to pursue coursework at Santa Ana College.  Completion of this Application for Services form constitutes an agreement to apply for DSPS.
HOW TO TALK WITH YOUR INSTRUCTORS ABOUT TESTING ACCOMMODATIONS (PDF)

Select this link to print the guidelines.
​​Print the following guidelines for discussing testing accommodations with your instructor.
 
Return to DSPS Home Page

Summary Links

Byline

 

Article Date

 

Image Caption

Publishing Page Content 2

Publishing Page Content 3

Summary Links 2

Document ID

HNYXMCCMVK3K-618-2
Content Type: SAC Page
Version: 6.0
Created at 11/10/2011 9:39 AM by Tran Nguyen, Angela
Last modified at 3/4/2014 1:11 PM by Treat, Amy