AS Info Request

Students who have disabilities may be eligible for accommodations through Accessibility Services (formerly Disability Support Services). The goal of Accessibility Services (AS) is to coordinate services which will ensure students with a documented disability equal access to Grays Harbor College's programs. If you are a student with a diagnosed (documented) disability, please complete the this form. All of the information that you submit is strictly confidential and voluntary.

Once the form is submitted, you will be contacted by AS to further discuss our services and the process for qualifying for accommodations.

Full Name * Required
First Last
Phone * Required
Email * Required
Mailing Address * Required
Street Address City State ZIP Code
Disability Categories
Select all that apply to you.
- Deaf/Hearing
- Mobility
- Speech/Language
- Learning Disability
- Blind/Visual
- Neurological/Nervous System
- Chronic/Acute Health Condition
- Psychological/Emotional
- Other
Please describe your disability
Name
This field is for validation purposes and should be left unchanged.