Appointment and General Information Request
Disability Support Programs & Services (DSPS)
Please respond to the questions below and someone will contact you within 2-3 business days to schedule an appointment or respond to your inquiry. If you have any difficulty with this form, please leave a message at (619) 431-2780 or email firstname.lastname@example.org/Mesadsps@sdccd.edu
Student 10-digit ID
DSPS Counselor (if known)
Elizabeth (Liz) Wilke
What is your primary need?
Alternate Media Request
DSPS Counseling Accommodations
Remote Test Proctoring Request
Technology Support for Classes
Briefly Describe Your Need
Your Preferred Communication
Zoom video conference
Best Time to Reach You?
Are There Any Days That You are NOT Available:
FERPA Disclaimer: Due to the abrupt transition to remote services as a result of the national emergency with COVID-19, we are having to get creative in the way we offer supports and services to students remotely. In order to comply with Family Educational Rights and Privacy Act (FERPA), a two question identification authentication will be required prior to releasing any academic information over the phone or in the remote counseling environments. I hereby grant permission for San Diego Mesa College Remote DSPS Counselors to release my academic during a live remote counseling appointment, via the phone, email or ConferZoom online meeting tool, to myself. When requesting a remote appointment and while communication with the counselor questions, I must authentically represent myself in all aspects.
Click to acknowledge you have read and agree to the above paragraph.