Montgomery College Disability Support Services Student Intake

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General Information

Please enter your information
What is your preferred name, if any?
Example: 111 Main Street, Apt 102
Additional Phone Number

Please tell us what pronouns you prefer that we use when communicating with you.
Please use your Montgomery College issued email address
Are you a visiting student from another College/University?Required
Are you a Veteran?Required
If you are taking classes on multiple campuses please select your "home" campus.
If you are taking online classes only, please select the campus that is nearest to you.
You can only select one campus.
Please tell us what semester you plan to take classes (Spring 2022, Summer 2022, Fall 2022, etc.)
Are you planning to take credit classes or are you planning to take non-credit classes?Required
Credit classes are for degree-seeking, transfer-seeking, or certificate-seeking students. Non-credit classes are for personal development, professional development, or to obtain a certification or license.
Are you a Dual Enrollment program student?Required
Are you an Early College program student?Required

Disability Background

Select all that apply

Educational Background

Are you currently enrolled in high school?Required
Are you currently or have you ever been a student at Montgomery College?
Have you ever attended or are you currently attending another college or university?Required

Accuplacer & ESL Accuplacer Testing

The college-wide Accuplacer is a computerized self-paced, untimed test in reading, English, and math.  The test is delivered in a multiple choice format and a calculator will pop-up as appropriate during the math portion.

If English is not your primary language, you should take the ESL (English as a Second Language) Accuplacer test.  The ESL Accuplacer is also a computerized self-paced, untimed test.  The test is delivered in a multiple choice format and includes a writing sample.

Do you require additional accommodations beyond extended time for the Accuplacer or ESL Accuplacer?


Upload supporting document(s)

If available, you may upload your supporting documentation here. (Please upload one document at a time. A new upload box will appear when you have successfully attached a document.)

Or, you may click Submit and bring hard copies of your documentation to your appointment.