Application for Services
Disability Support Programs & Services (DSPS)
San Diego Mesa College

Please answer the questions below and you will be contacted via email within 2-3 business days to schedule an appointment. If you have any difficulty with this form, please leave a message at (619) 431-2780, or contact schangotra@sdccd.edu
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  • Disability Information-Check all that apply

  • I understand that accommodations will be authorized temporarily until disability verification documentation is provided.

    I understand that it is my responsibility to notify DSPS if I cannot keep a scheduled appointment.

    Each semester I will discuss my accommodations with a DSPS Counselor. I understand I must activate my services at each College and/or Continuing Education site at which I am enrolled. I understand that DSPS Counselors may need to discuss my education and use of reasonable accommodations with other SDCCD personnel who have a legitimate educational need to know.

    FERPA Disclaimer: Due to the abrupt transition to remote services as a result of the national emergency with COVID-19, we are having to offer services and supports to student in various formats. In order to comply with Family Educational Rights and Privacy Act (FERPA), a two question identification authentication will be required prior to releasing information over the pone on in the remote counseling environment. I grant permission to San Diego Mesa College to release my academic information during these meetings. I must authentically represent my self during phone and online appointments.