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Volunteer State Community College

Intake Form

Student Intake Form
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Statement of Responsibility

    It is the student’s responsibility to voluntarily and confidentially disclose information regarding the nature and extent of the qualifying disability. The college does not assume responsibility for providing accommodations or services to students who have not identified themselves as having a qualifying disability.

Statement of Disclosure

    I do herby give permission for the Disabilities Services Office to act as an advocate on my behalf with my instructors, vocational rehabilitation counselor, and other significant VSCC staff members. I understand that it is my responsibility to meet with each of my instructors to discuss and request accommodations.

Accommodations and Auxiliary Aids at VSCC





































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