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Student Access Services Intake Form Intake Form

Student Access Services Intake Form Intake Form 2025

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The document is an Intake Form for students at Arapahoe Community College, designed to collect personal information, disability details, and academic status. It includes sections for student identification, disability disclosure, accommodations needed, and interactions with academic advisors and financial aid. The form also outlines responsibilities regarding documentation and services provided by Student Access Services.

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Click ‘Get Form’ to open the Student Access Services Intake Form in the editor.
Begin by filling in your personal information. Enter your Name, Preferred Name, Last Name, First Name, Middle Initial, and Student ID. Ensure accuracy for effective communication.
Provide your Birthdate and Student Email. This information is crucial for identification and correspondence.
Indicate your Gender and Preferred Pronoun by checking the appropriate boxes. This helps us understand how to address you respectfully.
In the Disability Information section, disclose your disability status by selecting either Diagnosed or Suspected. Describe its academic impact and any accommodations you've previously used.
Complete the ACC Status section by answering questions about Accuplacer testing, meeting with an Academic Advisor, class registration, and Financial Aid applications.
Review the Student Intake Checklist with a Specialist to ensure all necessary documentation is received and discussed.
Finally, sign and date the form at the bottom to authorize Student Access Services to hold your information confidentially.

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Student Access Services Intake Form Intake Form 2025

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