OSA New Student Application

* indicates a required field

Student Information

Please enter your information
  
In order to apply for accommodations you should first be admitted to NKU and have been issued a 9-digit Student ID
Please use your university issued email address
Are you registered to vote?Required

Specific Accommodation Information

Did you receive support services or other accommodations in high school, or another universityRequired
Primary Disability Category Required

Documentation

If you do not have documentation, please contact our office at 859-572-5282 or osa@nku.edu
Upload supporting document(s)Required
If you do not have documentation, please contact our office:
Phone Number: 859-572-5282

Email: osa@nku.edu

Consent

ConsentRequired

By signing this form, I am signifying my consent for the review of my request for accommodations. I understand that the Office for Student Accessibility (OSA) will not provide/approve accommodations or services until the interactive intake process has been completed with an OSA staff member. I understand the Office for Student Accessibility staff will not disclose my records to others unless I give permission for them to do so or unless the law authorizes or compels them to do so. By signing this form, I agree that the above information is true and accurate. OSA will reach out within 3-5 business days.  I understand that if I do not reply to OSA correspondence within 60 days, my application and documentation will be deleted from the portal. 

Please type your full name here and input today’s date below.