Intake Request Form

* indicates a required field

Student Information

Instructions: Complete the form to the best of your ability. Required(*) fields must be filled out for the form to submit. Please provide your KSU-issued email address as this is the primary method that Student Disability Services will contact students after review of the Intake Form. 

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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: Please fill in as much information as you are able. Required (*) fields must be completed for the form to submit.
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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.)