Intake Request Form

* indicates a required field

Student Information

Please enter your information
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Please enter your 9 digit KSU ID Number
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Please use your KSU issued email address
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Are you a veteran?(Required) *
Are you a Vocational Rehabilitation Agency client?(Required) *

Accessibility Specific Information

Instructions: There is much variability within each accessibility category, and therefore, the type of accommodations needed can vary significantly. Below, you will find descriptions of the various types of disabilities recognized in the United States. Student needs vary according to each individual. Therefore, it is important for the participating student to clarify the particular accommodations she or he requests
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Do you have any documentation of your disability?
Are you currently taking any medications related to your disability?
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Please upload your documentation here. If you have difficulties, you can also email it to Student Disability Services office at sds@kennesaw.edu or submit it via fax or mail. (View the "Contact Us' page for mailing and fax information on our website.)