Accessibility Services Application Form

* indicates a required field

Student Information

Welcome to Accessibility Services at Langara College! Please complete and submit the information below. We will contact you to book an intake appointment. If you have already booked an intake, please complete and submit this form prior to your appointment.

Please use your college issued email address if you have one.
Please enter your phone number in the following format: 555.123.4567
Can we leave you a confidential message at this number?
Are you a student currently registered in courses?Required
Nature of DisabilityRequired

Please describe any anticipated functional limitations you may experience in an academic setting.
Upload Documentation
If you already have documentation pertaining to your disability, upload it here or bring it to your intake appointment.