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Online Student Application

Two easy steps to register
Welcome to LSUS Disability Support. Please complete the form below in its entirety so that we can serve you better!

Please know that the information you provide will be kept private in accordance with the Family Education Rights & Privacy Act (FERPA). For more information on FERPA, please visit: https://www.lsus.edu/offices-and-services/records-and-registration/family-educational-rights-and-privacy-act.

Submission of this application is not a guarantee of services. In addition to this application, students must meet with the disability coordinator and provide documentation of disability-related limitations. The application, interview and documentation will be used to determine eligibility.
Personal Information
  1. Note: Select when you would like to start your services.
  2. Note: Select when you plan to graduate.
  7. Hint: Enter 9 alpha numeric characters.
  8. Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Contact Information
  1. Hint: Enter 10-digit number only.
  2. Hint: Enter 10-digit number only.
Local Address
  4. Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address

  4. Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
  2. Secondary Disability(ies)

    Attention Deficit Hyperactivity Disorder

    Autism Spectrum Disorder

    Blind/Visual Impairments

    Chronic/Acute Health

    Deaf/Hard of Hearing

    General Category

    Learning Disability

    Mobility Impairments

    Neurological/Nervous System Impairments

    Physical/Acute Health Impairments

    Psychological/Emotional

    Speech and Language

  6. Affiliation(s)
  7. Ethnicity(ies)

Questions

  1.  
    What is your student status? * (Selection is Required)
  2.  
    How will you attend classes? * (Selection is Required)
  3.  
    Where will you live while attending classes?
  7.  
    Are you receiving services from other agencies with whom you would like us to collaborate?
  8.  
    Do you use any type of assistive technology? * (Selection is Required)
  10.  
    If you are not registered to vote where you live now, would you like to apply to register to vote here today? (Forms may be returned by mail or in person to your local mandatory voter's registration office.) * (Selection is Required)
  11.  
    If you would like help in filling out the voter registration application forms, please schedule an appointment with Disability Services at 318-795-2402 or disabilityservices@lsus.edu * (Selection is Required)
  12.  
    Please note that you are not officially registered to vote until the parish registrar of voters receives and approves your application.
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