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Create a New Account
Fill out the form below in order to create a new account on this system. Questions marked with a * are required.
Email Address:
 *
First Name:
 *
Last Name:
 *
Telephone Number:
*
Student ID Number (please enter your ID provided by the institution that you belong to):
*

 

Select one of the following::
*
Are you registered with Accessible Learning Services (ALS):
*

 

If you are registered with ALS, please specify your accommodations, starting with EXTENDED TIME:

 

Please select additional ALS accommodations as listed on your accommodation form.:

  SPECIALIZED SOFTWARE - Kurzweil

  SPECIALIZED SOFTWARE - Dragon

  SPECIALIZED SOFTWARE - ZoomText

  SPECIALIZED SOFTWARE - OTHER

  VISUAL AID - Magnifier

  VISUAL AID - CCTV

  VISUAL AID - Enlarged Text

  FURNITURE - Ergonomic Chair

  FURNITURE - Adjustable/Electric Desk (not available at Davis)

  FURNITURE - Large Desk

  Testing Carrel + Computer (not available at Davis)

  Quiet Room

  Separate Room

  Standard Calculator

  Programmable Calculator

  Scribe

  Reader

  Scribe and Reader

  Spelling Dictionary

  Regular Dictionary

  Spellcheck Software

  Memory Aid Sheet

  Formula Sheet

  Stand-alone computer

  Laptop

  Network Access

  Clarification

  Short Breaks

Password
Password:
 *
Re-Enter Password:
 *
Email Options
Send an Email:

When I make an appointment.
When I modify an appointment.
When I delete an appointment.
When an announcement or mass email is sent.
To remind me of my upcoming appointment.
Include iCal Link?