Wufoo
Sign up with the Disability Resource Center
Provide the information below, and we will contact you as soon as possible.
Name
First
Last
Email
Phone Number
###
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T number (if you have one)
I would like you to:
call me to set up an appointment
email me to set up an appointment
email me the link to begin the registration process, then I'll call to make an appointment
Choose one:
I am currently a student at UALR
I plan to attend UALR
I want to talk with DRC staff before deciding about coming to UALR
Do Not Fill This Out
Wufoo
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