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: mjcdsps@mjc.edu
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