This phone number will be used to collect your Social Security Number and date of birth after you submit this form.
Pleace contact the DWS/VR Coordinator at 435-586-7846 for assistance.
As a student registered in the DWS/VR Grant Program at Southern Utah University’s Disability Resource Center, you have access to several resources which include but may not be limited to:
These benefits are offered to our students based on subjective need and will be available for approximately one academic year. In order to ensure that you have access to this program and all of the benefits provided, you will be required to follow the following guidelines:
If guidelines are not adequately met, you will be required to meet with the Grant Program Coordinator to discuss your eligibility for the program. If the Grant Program Coordinator feels that you are not able to meet the guidelines appropriate for this program, you will be excused from the program.
By signing this document you acknowledge that you fully understand the guidelines for the DWS/VR Grant Program and will do your best to meet all of the requirements listed above.
As a student registered into the DWS/VR Grant Program at Southern Utah University’s Disability Resource Center, you agree to the following:
The following is a list of information that will be regularly audited by the Disability Resource Center staff and the State of Utah. This information is protected under federal law and will not be shared with any unauthorized parties.