Disability Support Services (DSS) Application for Services

* indicates a required field

Student Information

Moreno Valley College Disability Support Services (DSS) is committed to supporting your educational goals by addressing your disability-related needs. Services are approved on a case-by-case basis and are determined after an interactive process between the student and a DSS counselor. Please complete this application for services:

Date of BirthRequired

7 numbers

ex. 123 Anywhere St. Moreno Valley, CA 92551

Please use your college issued email address

Student Status Required
Are you a Department of Rehabilitation or Inland Regional Center client? Required
Are you a Veteran or a Veteran dependent?Required

LMVC's Veteran's Resource Center supports the unique educational needs and challenges of Veteran and Veteran-dependent students, from use of VA Educational Benefits to personalized academic counseling.

Learn more at https://mvc.edu/veterans

Are you registered to vote?Required

Register to vote online at https://registertovote.ca.gov.

Are you seeking financial aid to cover costs of attendance?Required

Financial aid through state and federal grants, scholarships, and stipends can help ease the financial burden of attending college. Most students qualify. 

Learn about financial aid options at https://mvc.edu/financialaid.

Are you interested in receiving assistance through EOPS/CARE program?Required

Extended Opportunity Programs & Services (EOPS) and its supplementary programs, CARE and NextUp, go the extra mile for educationally and economically disadvantaged students, former foster students, and student parents who may  benefit from personalized academic help.

Learn more at https://mvc.edu/eops.

Student Rights Required

My participation in DSS is entirely voluntary. Receiving support services or instruction through DSS shall not preclude me from participating in any other course, program, or activity offered by the college or from receiving basic academic adjustments required by state and federal law. I consent for the DSS to keep a copy of my medical records for use in my education/career planning. All records maintained by DSS pertaining to my medical condition(s)/disability(ies) shall be protected from disclosure and shall be subject to all other confidentiality requirements for handling student records.

Student ResponsibilitiesRequired

I will provide DSS with the necessary information, documentation and/or forms (medical, educational, etc.) to verify my disability-related needs. I will meet with a DSS counselor to complete an Academic Adjustment Plan (AAP). If I feel any changes are needed to my AAP, I will meet with a DSS counselor to discuss these needs. I will utilize DSS services in a responsible manner. I understand I must adhere to DSS written service provision, policies, and procedures. Note: Authorities cited: Title 5 C.C.R. Section 56000 et. seg.

Please Acknowledge Required

Checking this box indicates that I understand and agree to the above Student Rights and Responsibilities and I will abide by them. I may print this document using the print capabilities of my browser. Failure to comply with these rights and responsibilities may result in suspension of services. I will have the opportunity to appeal the decision.If you have any questions or concerns, please contact the DSS office at (951) 571- 6138 or visit the DSS website at http://www.mvc.edu/services/dsps/

Completion of this application indicates:
I understand my rights and responsibilities as a DSS studentRequired
I understand the following:Required

DSS personnel may discuss my disability-related needs with other professionals who have a legitimate educational need to know.

I have been provided with information on voter registrationRequired
I understand the following:Required

Completion of this application does not indicate I have been approved for the use of academic adjustments. I understand that I will need to meet with a DSS counselor for approval of services.

Upload Disability Verification

Moreno Valley College Disability Support Services (DSS) is committed to supporting your educational goals by addressing the academic challenges associated with your condition. To utilize support services, students must provide proof of disability. Once this documentation has been reviewed and verified, students complete an interactive process with a disability support counselor. The first step is to complete the form below. Someone from DSS will contact you once you submit the form..