Johnston Community College

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Disability Services Request Form


Johnston Community College
P.O. Box 2350
Smithfield, NC 27577
Wilson Bldg., Room 1214
(919) 209-2543
TTY (919) 209-2154

Federal Law prohibits Disability Services from making pre-admission inquiries about disabilities. The Disability Services Office has been designated on campus to assist students with disabilities. In order to provide this assistance it is necessary for students with disabilities to identify themselves in a timely manner. Please remember that any information you provide is strictly voluntary and will be kept confidential.

In order to facilitate your learning experience at Johnston Community College, we ask for you to complete and return the form along with proper disability documentation to the Disability Services Coordinator.

Please print and complete the form and return to the Disabilities Services Coordinator in Wilson Building, Room C1041A.

Please return the completed form along with supportive documentation to:

Disability Services Coordinator
Johnston Community College
P.O. Box 2350
Smithfield, NC 27577

Johnston Community College is committed to equality of educational opportunity and does not discriminate against applicants, students, or employers based on race, color, national origin, religion, sex, or disability.

 
Johnston Community College | 245 College Road | PO Box 2350 Smithfield, NC 27577
(919) 934-3051 - http://www.johnstoncc.edu - Copyright © 2014, All Rights Reserved.