Apply for Services

Please read the Guidelines for Documentation before beginning this application. This link will open in a new window.

Have you been accepted to UNCP?
Full Name
This is your unique ID number and consists of 9 digits
Are you registered to vote?
Are you a veteran?
Address
Education Classification
Primary Type of Disability/Medical Condition
Associated Limitations
Type of Disability
Semester for which accommodations are being requested / or to start:
Please use this box to tell us how the diagnosed disability / medical condition described is currently impacting your functioning and causing you substantial limitations. 1. Considering the skills such as reading, writing, paying attention, mathematics, etc., describe (be specific) the current (or recent) impact of the disability/medical condition in both of the following areas: a. In Class - lectures, labs, test-taking, participation, etc. b. Out of Class - private study, time management, homework, daily living and accommodation/residence needs etc. 2. Accommodations/Services With reference to the above information, describe the accommodations, resources and services that you think you will need and how these will address the issues you have identified above. If a written response is difficult for you, you may record your responses and submit an audio file.
Documentation
Click 'Choose file' then browse to your Documentation file and select then click 'Upload' The documentation submitted should be from a professional who is licensed/certified in the area for which the diagnosis is made and who is not related to the student. The documentation must be presented on practice letterhead and signed by the examiner. We encourage you to upload the documentation file below if it is available electronically as this will speed up our review process. However, if your documentation is not available electronically or if you prefer, you may mail the documentation to Accessibility Resources Center, University of North Carolina Pembroke, PO Box 1510, Pembroke, NC 28372 or send by fax to 910-521-6891.
One file only.
24 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.
Click 'Choose file' then browse to your Documentation file and select then click 'Upload'
One file only.
24 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx.