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Disability Support Services Online Enquiry

The purpose of the online request form is to allow students to make initial contact with the Disability Support Service in order to implement support and save time upon registration. Students from rural, regional and international areas who cannot provide a physical presence on campus will benefit from the online request.

Fields marked with an * are mandatory.

Personal Details

  2. (If prospective, please type "PROSP" in the box)

Course Details

  1. Are you studying in*
  5. Course Status

Disability Details

  1. Disability Type (tick all that may apply)
  4. To be eligible to receive services from Disability Support Services, students must be able to provide relevant documentation from a qualified professional in the particular field of disability or health. After you have submitted this form a Disability Liaison Officer will be in contact with you to arrange submission of this documentation.
  5. For further details about eligibility please visit http://www.swinburne.edu.au/stuserv/disability/eligibility.html#documentation

Further Information

  1. How did you find out about the Disability Support Service?*
  3. The Disability Support Service will contact you to discuss support options. Please indicate your preferred contact method*