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- Birth Date*
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Format: 000-000-0000.
- Message preferences:*
- Is your primary language English?*
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- Gender:*
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- Veteran:*
- Do you already have a class schedule?*
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- Have you attended any other colleges or universities?*
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- Add a 2nd disability
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- Add a 3rd disability
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- Add a 4th disability
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- Add a 5th disability
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- How does you disability/injury impact you as a student?*
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- What kind of content is more challenging?*
- What kind of accommodations are you requesting from Nelson University?*
- Which devices do you use as a student?*
- Do you use any technology to address the challenges of your disability?*
- Select any adaptive technology that has been helpful.*
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- Should be Empty: