Forms and Publications

DSPS Application

You need to apply to Modesto Junior College and receive your student ID (W Number) and take the English and Math placement tests before completing the Disability Services application.

Download Application Packet in Pdf (fillable form)
After completing the application email the form as an attachment to:
OR Download Application Packet in Word

ONLY download Verification of Disability form (fillable form, already included in packet)

If you have any questions on how to fill out the application call (209)575-6225 or 575-6226

DSPS Program Checklist for New Students
Download Steps to Become a DSPS Student in Pdf
     OR Download Steps to Become a DSPS Student in Word

 MJC Disability Services Program “Pathways to Success”
     Download DSPS Brochure in Pdf
     OR Download DSPS Brochure in Word

DSPS Student Handbook
     Download DSPS Handbook in Pdf
     OR Download DSPS Handbook in Word

Apply to Register to Vote
     Download Voter Preference form in Pdf (fillable)

Title IX and Sex Discrimination
     Go to Title IX Home Page

To File a Discrimination Complaint
     Click here for General Complaint Form
Click here for Discrimination Complaint Form
Click here for Harassment Reporting Form

Sites on the Web that May be of Interest

    Auxiliary Aids and Services for Postsecondary Students with Disabilities