Disability Support Services Intake Form

* indicates a required field

Student Information

Please complete the form below. Please note that it is required to submit documentation as part of the registration process. If you do not have documentation to upload with this form, please submit to dss@ju.edu
Please use your university issued email address

General Information

Are you a current JU student?Required
If you select "no", please be advised that this process cannot continue through this system, but we will be happy to assist you. Just contact us at dss@ju.edu
Is this a Temporary Request?Required
Student Class
Example: Spring 2023
Have you previously received accommodations and services from JU’s DSS?
Have you previously received accommodations from another school?
Upload supporting document(s)

Please review our documentation guidelines.

DocumentationRequired
If no documentation is attached, your request will stay "pending" until the documentation has been received. If you have any questions, please reach out to us.