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  • APPLY
  • ACADEMICS
    • UNDERGRADUATE PROGRAMS
      • Audio Recording Technology
      • Business Administration
      • Business Management
      • Film and Television
      • Interactive Media Arts
      • Liberal Arts
      • Mass Communication
      • Music Teacher Education
      • Music Performance
      • Theatre Arts
    • GRADUATE PROGRAMS
      • Sound Recording Technology
      • Music Education
      • Master of Music
      • Doctor of Musical Arts
    • ACADEMIC RESOURCES
      • Online Education
      • Five Towns College Catalog – 2022-23
      • Registrar
      • Winter Session / J-Term
      • Academic Standards
      • Student Success Center
      • The Writing Center
      • FTC Bookstore
      • Academic Calendar
      • College’s Student Learning Assessment
  • ADMISSIONS
    • UNDERGRADUATE ADMISSIONS
      • How to Apply: Undergraduate
      • Online Application
      • Early Action College Application Process
      • Higher Ed Opportunity Program (HEOP)
      • L.I. Superintendent’s Scholarship
      • Summer High School Scholars Initiative
      • High School Jazz Festival Initiative
      • Guidance Counselors
      • Accepted Students
      • Orientation
    • GRADUATE ADMISSIONS
      • Online Application
      • Graduate Music Studies Incentive
      • Fellowship Performance Initiative
      • Adult and Continuing Education
    • ADMISSIONS RESOURCES
      • Open House Events
      • Campus Visit
      • For Parents
      • For Transfer Students
      • For International Students
      • For Veterans
      • FAQ
      • Request Information
      • Zoom Information Sessions
  • FINANCIAL AID
    • OVERVIEW
      • Financial Aid Overview / Consumer Information
      • Apply for Financial Aid | FAFSA Application
      • Grants, Loans, Scholarships and Veterans’ Benefits
      • Federal Work Study | Work Study Application
      • SAP Requirements
    •  DETAILS: TUITION & FORMS
      • Tuition and Fees
      • Payment Plans
      • Links and Forms
      • Upload Financial Aid Documents
  • STUDENT LIFE
    •  CURRENT STUDENTS
      • Calendars
      • Current Students
      • Career Services Center/Alumni Assoc
      • Student Success Center
      • Student Access & Disability Services
      • Clubs and Organizations
      • Residence Life
      • Enough is Enough
      • Things To Do On Long Island
    • ATHLETICS
      • Men’s Basketball
      • Men’s Soccer
      • Men’s Volleyball
      • Men’s Cross Country
      • Women’s Basketball
      • Women’s Soccer
      • Women’s Volleyball
      • Women’s Cross Country
      • FTC SOUND LIVE! Stream
      • Sound Esports
  • ABOUT US
    • ABOUT FIVE TOWNS COLLEGE
      • College Mission Statement & Goals
      • College Accreditation
      • Administration
      • Consumer Info / Student Right To Know
      • Faculty
      • Fast Facts
      • FTC News: The Record Online
      • Directions
    • CAMPUS FACILITIES
      • On-Campus Housing
      • Campus Dining
      • FTC Performing Arts Center
      • The John Lennon Center
      • Information Technology Office
      • FTC Campus Store
      • Library
      • Public Safety
    • ADDITIONAL RESOURCES
      • Administrative Office Contact Info
      • Employment Opportunities at FTC
      • Institutional Policies
      • Public Health Bulletins
      • Featured Alumni
      • Testimonials
  • REQUEST INFO
  • APPLY

Student Access Office Registration Form

Student Access Office Registration FormDaoning Dai2021-06-16T09:54:47-04:00
  • Student Access Office (SAO) Registration Form

    1. Qualified individuals with a documented disability may request reasonable accommodations. To do so, the following must be completed, signed and submitted to the Student Access Office: (1) this Student Access Office Registration Form, (2) the signed Consent and Release of Academic and Disability Related Information Form, and (3)supporting copies of current (one year or less) disability documentation from a federal or state licensed medical professional, including licensed mental health professional.
    2. When a Registration Form is completed and submitted, the Student Access Office will contact the student in a reasonable period of time.
    3. If accepted, an appointment and review of reasonable accommodations will be made.

  • (Not ONLY IEP, but other disability documentation such as Psycho-educational Evaluation, etc.)
    Drop files here or
    Max. file size: 50 MB.
    • FOR TRANSFER STUDENTS:

      Please list any reasonable accommodations that you received from any/all other colleges:
    • Section 504 & the ADA allow colleges to require documentation of a disability in order to determine the most appropriate reasonable accommodations that a student will need. The FTC Student Access Office holds all documentation in the strictest confidence and will not release specific information without authorization from the student. Guidelines for documentation are available upon further request.
    • Note: Please allow a reasonable amount of time for Student Access to review the Registration Form and documentation. Please note that while there are generally no additional costs, there may, on occasion, on a case-by-case basis be an additional cost depending on the extent of the needs of the applicant. Also, all provisions of the institution’s policies and guidelines apply to any/all qualified individuals who accept the accommodations.
    • Consent & Release of Academic and Disability Related Information

    • I hereby consent and permit Five Towns College to release my student information to the following person(s):
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    Five Towns College

    305 North Service Road,
    Dix Hills, NY 11746
    Phone: 631.656.2110
    Fax: 631.656.2172

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    and the performing arts . . .
    Come to Long Island!


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