Forms and Publications
ASC 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 Accommodations and Support Center application.
Complete ASC Application in Etrieve by logging in with your MJC student email address
and password
ASC Application Packet in Etrieve Forms
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
OR ASC Application Packet in Etrieve Forms (log in with your MJC student email address and password)
AND Complete California Voter's Registration Statement in Etrieve Forms
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
ASC Program Checklist for New Students
Download Steps to Become a ASC Student in Pdf
OR Download Steps to Become a ASC Student in Word
MJC Accommodations and Support Center Program “Pathways to Success”
Download ASC Brochure in Pdf
OR Download ASC Brochure in Word
ASC Student Handbook
Download ASC Handbook in Pdf
OR Download ASC 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