DRC Forms

Intake Forms for New Students

• Application for DRC  Services 
• Medical Verification Form 
• Learning Disability (LD) Packet
• Upload Disability Documentation - Use this form only if you could not upload it on the application.

Request Alternative Media Services (anything related to technology for school work)

• Alt. Media Request Form 

Forms to Request Accommodations

• ASL Interpreter Request and Agreement 
• ASL Interpreter Request for EVENTS - Please submit this request 3 weeks before the event
• Audio Recording Agreement for Students 
• Audio Recording Acknowledgement for Faculty 
• CART Services Request and Agreement
• CART Services Request for EVENTS - Please submit this request 3 weeks before the event
• Furniture Request Form
• Notetaking Request Form 
• Notetaker Agreement - This form is for notetakers.
• Notetakers: Upload Notes for DRC Students - This is just one option. If you prefer to share your Google Drive instead, please let us know.
• Personal Care Attendant Agreement for Students
• Personal Care Attendant (PCA) Agreement - This must be completed by a PCA
• Request for Accommodation Memo - Must request every semester you'd like to use accommodations
• Reserved Seating Request
• Service Animal Agreement 

Request Proctoring

• Proctor Request Form 

Requests to Send or Receive Your Private Disability Information 

• Permission to Release Documents and/or Information to a Third Party (ex: parent, guardian, another college, etc)
• Permission to Request and Receive Documents from Another College or University on Your Behalf 
• Revoke Authorization to Release Information to a Third Party 
• Permission to Disclose DRC Affiliation with Another Cañada College Program (ex: TRIO, Promise, EOPS, etc)

DRC Counseling Trainees

• DRC Counseling Internship Application
• Confidentiality Agreement

DRC Student Workers, Ambassadors, and Volunteers

• Volunteer Application - TBA
• Confidentiality Agreement