Thank you for your interest in our Student Support Services program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (507) 786-3256, email or visit our website at



Information you provide to the Student Support Services for Students with Disabilities (SSSD) program is protected by the Privacy Act.  No one may see the information unless they work for St. Olaf College, SSSD, or if you specifically authorize them to see the information. In addition, some information you give to the SSSD Program is sent to the federal government (Department of Education).  The information is necessary to confirm that you are eligible to participate in the program and helps the government to measure the program’s success. 


General Information:

First Name *
Middle Name
Last Name *
Cell Phone Number:
Please type in your personal and St. Olaf Email Address: *
Are you currently enrolled or will be enrolled at St. Olaf College in the upcoming semester?
Please check this box if you are a U.S. Citizen, National of the United States, or a person who meets the residency requirements for federal student aid?
Academic Info:
Current Grade Level: *
Have you registered with the St. Olaf Disability and Access located within the Center for Advising and Academic Support (CAAS) office regarding your disability?

Eligibility Questions:
Do you have a documented disability? *
How many people are in your household at home? *
Family Income Range: *
Most Recent IRS 1040 OR SSSD Income Verification Form
Are you a former TRIO Upward Bound (UB), Educational Talent Search (ETS), College Possible student or in a college preparatory program?
Were you enrolled in English as a Second Language (ESL) courses in high school?
What are your educational goals? *

Why are you interested in SSSD?  Below is a list of our services.

  • New Student Orientation Program
  • Educational achievement and improvement
  • Weekly first-year advising
  • Academic, career, and financial aid advising
  • Student leadership opportunities (conferences, Peer Leaders, workshops)
  • Cultural Events
  • Graduate School advising and preparation
  • Assistance securing internships, research positions, and summer career-related work experience.
  • Mental Health strategies and support (mindfulness and positive psychology workshops)
  • Financial literacy workshops
  • English Language Learning Support

List all the SSSD services you are interested in: *
Please describe how you will benefit from participating in the Student Support Services program for Students with Disabilities (SSSD)? *
What are your career goals? If you don’t know, it is OK to say unknown/exploring! *

Sign and Submit:
Applicant Signature *
Please select a signature verification type.
Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding. You also authorize program staff to receive your transcript, grades, financial data, documentation of disability, recommendations and evaluations in order to determine eligibility and fulfill the requirements of the Student Support Services for Students with Disabilities (SSSD) Program at St. Olaf College.  You are in agreement with the Student Informed Consent Agreement.  You authorize us to release information to the U.S. Department of Education.