• Student Support Services, Disabilities

  • Thank you for your interest in participating in the Student Support Services, Disabilities program here at WKU. Our program is one of many student-oriented TRiO programs that provides support services to individuals who are often underrepresented in post-secondary educational settings.

    Eligibility requirements for our program are as follows:

    - Admitted to WKU as a degree-seeking undergraduate student

    - United States citizen or permanent legal resident

    - Has a documented disability and is registered with the SARC (refer to their website https://www.wku.edu/sarc for more information)

    - Demonstrates academic need (low grades in high school/college, low   admission test scores, nontraditional student, underrepresented minority, on academic probation, etc.)

    In addition, SSS-D will give priority to applications of students that meet the following optional criteria:

    - First-generation college student (neither parent has graduated with a degree from a four-year college or university)

    - Limited income background (Pell eligible, determined by FAFSA information and annual low-income levels set forth by federal government)

    If you’re not sure that you meet all of these criteria, feel free to fill out our application anyway! We will do our best to assist you and if our office is unable to provide the support you need, we can certainly connect you with other campus and community partners to help you in your journey toward academic success.

     

    • Personal Information 
    • What are your pronouns?*
    • What is your birthday?*
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    • Which of the following eligibility criteria apply to you? (You may select more than one)*
    • Have you already registered with the Student Accessibility Resource Center (SARC) here at WKU?
    • Contact Information 
    • What is your preferred contact method? (You may select more than one)*
    • Is your local/on-campus address the same as your permanent mailing address?*
    • Academic Information 
    • What is your year/classification?
    • Are you a transfer student?
    • Have you participated in another TRiO program before? (SSS, Upward Bound, Educational Talent Search, etc.)
    • Services Information 
    • Which of the following services are you interested in? (You may select more than one)
    • Which obstacle(s) may affect your academic goals?
    • Agreements and Signature 
    • Have you previously participated in a TRIO program? (Check all that apply)
    • Are you a member of the WKU Kelly Autism Program, Circle of Support program?

    • I hereby authorize my participation (including but not limited to photos, interviews, and testimonials) in program marketing efforts.

      I give permission for Student Support Services, Disabilities project personnel to access my WKU academic and financial aid records for the purposes of verifying initial program eligibility and providing services throughout the year.

    • RELEASE OF RECORDS: The "Release of Records" is required for program participation. Records will be used to assess student needs, monitor progress, document eligibility, and for reporting purposes. This information is confidential and protected under the General Education Provision Act. SSS-D will not release any confidential information without your written consent.

      I hereby grant permission for the Student Support Services, Disabilities program at Western Kentucky University to have access to educational records, including (but not limited to) grades, test scores, financial aid eligibility, class schedules, and attendance for the duration of the student's enrollment in the WKU Student Support Services, Disabilities Program. This also authorizes the postsecondary institutions to release to the WKU Student Support Services, Disabilities program copies of college academic enrollment and student aid award information.

    • I understand that checking “I Accept” and typing my full name in the box below constitutes an electronic signature.
    • Submit 
    • Should be Empty: