Student Application Form

* indicates a required field
Completing the Initial Contact Form is the first step in connecting with the SSD office

This form is currently intended for current students, incoming students, or prospective students. If you are not a student but are seeking information regarding SSD and our resources please contact the SSD front desk at 734-763-3000 or email us at ssdoffice@umich.edu. If you experience any difficulty in filling out this form, please contact us directly. 

If you are needing transportation support due to a temporary condition or a mobility disability please complete the request form at the following link, https://ssd.umich.edu/content/paratransit-application.

All information supplied is kept confidential and submitted directly to the SSD office.

Upon submission, you will be contacted via email by the SSD office within three (3) business days. Communication will be sent directly to the student's University of Michigan (UMICH) email address. If you have not heard from us after that time, please contact our office.

Personal Information

Please provide if different from above first name.
If none exists, please put N/A
Please use your university issued email address. If you do not have a University of Michigan email, please put an email where you can be reached.
This is for verification purposes, all office communication will go to UM email.
Birthdate

Academic Information

Please Indicate if you are currently undecided
What semester would you like to start your services?

Disability Information

Are you connecting with our office for a temporary injury?Required
If multiple, please list all for which you are requesting accommodations.

Accommodations

Have you previously worked with a SSD coordinator?
Upload supporting document(s)

Please note that you can meet with an SSD Coordinator prior to submitting documentation. Coordinators can discuss any documentation needs during your Welcome Meeting and steps you can take after the meeting. 

Examples of Different types of Disability-related Documentation:

  • Educational records, such as a high school accommodation plan (IEP, 504 plan, etc.)

  • Medical Records

  • Letter from healthcare professional, on letterhead which confirms a diagnosis, impact of the disability and functional limitations 

  • Neuropsychological or educational evaluation

  • Audiology report 

  • Vision assessment

  • Proof of accommodations used on standardized exams (SAT, ACT, etc.) 

Additional questions? Please connect with us at Phone (734) 763-3000 or ssdoffice@umich.edu

Upon Submission

All information supplied is kept confidential and submitted directly to the SSD office. 

You will be contacted via email by the SSD office within 3 business days. Communication will be sent directly to the student's University of Michigan email address.

If you have not heard from us after that time, please contact our office at 734-763-3000