Disability intake form 2026

1. Click ‘Get Form’ to open the disability intake form in the editor.
2. Begin by entering your personal information, including your name, student ID number, birth date, primary campus, address, phone number, and MTC email address.
3. Indicate whether you would like to receive the Disability Services E-Newsletter by selecting 'Yes' or 'No'.
4. Describe your primary disability(ies) in the designated field. If you have received accommodations in the past, please specify where and what those accommodations were.
5. In the section regarding helpful accommodations for your studies at Midlands Technical College, provide detailed suggestions that would support your learning experience.
6. Complete the Release of Information section by authorizing Counseling Services staff to share information with faculty/staff or other qualified professionals as needed.
7. Finally, sign and date the form to confirm your request for accommodations. Ensure all required fields are completed before submission.

Start filling out your disability intake form today for free using our platform!