Accessible Education Application
Preferred contact phone#:
Date of Birth:
Do either parents have a BA or BS Degree?
Are you currently receiving college financial aid?
How are you financing your education?
Did you graduate from High School?
If you did not graduate High School, do you have:
Are you enrolled, or plan to be enrolled, at SWOCC:
Do you plan to transfer to get a four-year degree?
Names of colleges you are interested in attending after graduation or transfer from SWOCC:
If Other, describe here:
List reasonable academic accommodations reviewed in the past:
How did you learn about the Access Education Office?
This application is filled out to the best of my knowledge. I understand that information I share with the Access Education Office (AEO) staff will be kept strictly confidential according to the rules and policies of the college. I also understand that information from all other offices at Southwestern Oregon Community College can be requested to complete my AEO file.
Southwestern Oregon Community CollegeStudent Success CenterAccessible Education Office541-888-7371