This form is for students who have never received disability services through our office. Please complete this form to begin the registration process with the Learning Assistance Center’s Disability Services Office. Once we receive your information, we’ll be in contact with you via your @maine.edu email address to set up an appointment.

New Student Registration Form

New Student Registration Form

Enter your full name.
If you prefer to go by a name that is different from what you listed above, please tell us what it is.
Please tell us any preferred pronouns you use (ex: she/her/hers, he/him/his, they/them/their)
Enter your date of birth
Enter your UMF email address.
Enter your phone number.
Tell us why you'd like to register with the Learning Assistance Center's Disability Services *
Please check all that apply.
Do you receive services from either Vocational Rehabilitation or Veterans Administration? *
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