Accessibility Services Registration Form

​Welcome to Accessibility Services! We are looking forward to working with you! The information you provide us in this form will help us determine who, within our department, will best suit your needs, and will help us understand what supports you may require while you study at RRC. Please note that all information on this form is confidential.

Personal information collected during the intake process will be used by Counselling and Accessibility Services for service delivery and planning purposes as per the Red River College Act and in compliance with The Freedom of Information and Protection of Privacy Act and the Personal Health Information Act. For more information, visit https://www.rrc.ca/legal/policies/freedom-of-information-and-protection-of-privacy/. Absent an exception allowed by law, application and student information cannot be provided to anyone other than the student unless the student has provided written consent to Counselling and Accessibility Services.

Accessibility Services has received your registration form.

Someone from our office will be in touch with you within 3 business days to schedule an appointment. Thank you.

Return to Accessibility Services

Personal information

Emergency contact information

Program Information

Additional Information

I have been diagnosed with (please check all that apply):

If you have any difficulties completing this form, please email Jennifer or Naomi.

Forms

Version 2019.0067

Online forms (some public) that interface with in-house applications when submitted

Framework Version: 4.0.14, Running on VEGA

Designed and built by Enterprise Applications, Information Technology Solutions, Red River College