Highland Community College

Disabilities Self-Identification Form

Fields marked "*" are required

  • Fall
    Spring
    Summer
    Intersession
  • Highland
    Technical Center (Atchison)
    Holton
    Perry
    Wamego
    Western Center (Baileyville)
    Online
    Concurrent high school
  • Please Identify the nature of your disability:

  • Yes
    No
  • Yes
    No
  • Yes
    No
  • Yes
    No
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