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DSPS On-Line Orientation
Certificate of Completion

Disabled Student Programs and Services official verification star

• I have reviewed and understand the information presented in the orientation to College of the Redwoods DSPS programs.
• I am submitting:

1. DSPS Application for Services
and
2. DSPS Release of Information to the DSPS office.

Please have a DSPS professional contact me.

Print Name:____________________________________________

Signature:______________________________________________

Student ID#:____________________________________________

Date: Mo._____________ Day_____________ Year____________


(Office Use Only)


Received in DSPS office by ______________________/date_______________