DRC Welcome Form

* indicates a required field

Student Information

*Please only submit this form once* If you need to add any additional information or documentation and do not have an account in Accommodate, please contact drc+accommodate@ucsc.edu to request an account. 


At the DRC, we are committed to facilitating equal access and inclusive practices for students with disabilities at UCSC. We understand that everyone is unique; the goal of this form is to help gather information necessary to identify what accommodations may be appropriate. We value our students' lived experiences and tailor accommodations and support to each student’s disability-related needs. Please fill out the form to the best of your ability. Not all questions are required, you may leave the fields blank if you are unsure of how to answer them.

Are you filling out this form for yourself or for a conserved student?Required
How did you hear about us?Required
Please use your university issued email address if you have one
Enrollment Type
Class Standing
Are you interested in receiving the DRC's optional monthly newsletter which includes optional events, workshops, etc?Required

*Please Note* Important information and updates about Accommodate, your accommodations, the running of the DRC office, etc. will still be sent to you regardless of your answer to this question.

Specific Accommodation Information

Mobility, transportation, extracurriculars, events, etc
Have you received disability related services or support prior to coming to UCSC?
If you have medical documentation related to your disability please upload the documentation prior to your appointment.
Upload supporting document(s)

For more information on documentation guidelines, please visit our Documentation Guidelines page.