Santa Monica College Support Services Application Form
This file is an application form for support services at Santa Monica College. It collects personal, educational, and medical information required to provide necessary accommodations for students with disabilities. The form includes sections for personal information, educational history, employment history, and a medical/educational information release form.
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How do I fill this out?
To fill out this form, provide your personal, educational, and medical information. Ensure all required fields are completed accurately before submitting. Contact Santa Monica College if you have any questions or require assistance.
How to fill out the Santa Monica College Support Services Application Form?
1
Provide personal information including name, address, and contact details.
2
Complete sections regarding your educational and employment history.
3
Fill in details about your disability and the nature of services required.
4
Ensure the medical/educational information release form is signed and completed by a licensed professional.
5
Review all provided information for accuracy before submitting the form.
Who needs the Santa Monica College Support Services Application Form?
1
Students with disabilities applying for support services at Santa Monica College.
2
Rehabilitation clients needing to provide information to SMC.
3
Regional Center clients who are current or past users.
4
Students receiving psychological services requiring accommodation.
5
Individuals needing to provide an emergency contact for SMC records.
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Review your edited document for any errors or omissions.
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What are the instructions for submitting this form?
Submit the form by mailing or delivering it to the Center for Students with Disabilities at Santa Monica College, 1900 Pico Blvd, Santa Monica, CA 90405. Alternatively, you can submit it via email to dsps@smc.edu or fax to (310) 434-4272. Ensure all sections are completed accurately before submitting the form. For assistance, contact the Center for Students with Disabilities at (310) 434-4265.
What are the important dates for this form in 2024 and 2025?
Important dates for this form in 2024 include the start of the academic year on August 26 and the deadline for fall semester applications on July 31. For 2025, important dates include the start of the academic year on August 25 and the fall semester application deadline on July 31.
What is the purpose of this form?
The purpose of this form is to collect information necessary for Santa Monica College to provide support services for students with disabilities. It ensures that the college has accurate personal, educational, and medical information to tailor accommodations that meet the needs of each student. By gathering these details, Santa Monica College can offer appropriate resources and support to help students succeed academically.
Tell me about this form and its components and fields line-by-line.
- 1. Personal Information: Includes fields for name, address, contact details, and other personal identification information.
- 2. Educational History: Requires details about the highest grade completed, degrees achieved, and the last two schools attended.
- 3. Employment History: Requests information about past employment, including the most recent employer and job position.
- 4. Medical/Educational Information Release Form: Authorizes Santa Monica College to obtain and use medical or educational information for providing support services.
What happens if I fail to submit this form?
If you fail to submit this form, you may not receive the necessary support services from Santa Monica College.
- Lack of Accommodations: Without the form, the college may be unable to provide accommodations to assist with your academic success.
- Inaccurate Records: The college may have incomplete or inaccurate records, impacting their ability to understand your needs.
- Missed Deadlines: Failure to submit the form by required deadlines could result in delays or denial of support services.
How do I know when to use this form?
- 1. Applying for Services: Submit this form when initially applying for disability-related support services.
- 2. Updating Information: Use this form to update any changes to your personal, educational, or medical information.
- 3. Reapplying for Services: If you previously received services, complete this form again to reapply or continue receiving assistance.
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