AccessAbility Services Registration

Welcome to JCU AccessAbility Services, this registration form is the initial step to connect with AccessAbility Services.

AccessAbility Services provides students with a documented disability, illness and health conditions (either temporary or permanent) with assistance and support to help them with their studies.

AccessAbility Services works with academics and professional staff to ensure JCU can put in place appropriate reasonable adjustments in line with the requirements under the Disability Discrimination Act (1992) and the Disability Standards for Education (2015).

If you have any difficulties completing this form please contact us by phone 1800 246 446 or email accessability@jcu.edu.au

Please note that as part of the registration process you will be required to provide supporting medical documentation and a signed Consent to Release form.

Are you a JCU Brisbane student?Required *

Are you a JCU Brisbane student? Yes Are you a JCU Brisbane student? No

Have you previously registered with AccessAbility Services at JCU?Required *

Have you previously registered with AccessAbility Services at JCU? Yes Have you previously registered with AccessAbility Services at JCU? No

Notice to JCU Brisbane students

Please see contact information for JCU Brisbane here- Contact Information & Student Forms - JCU Australia

Notice to students with previous or existing registrations

Please login using the portal for registered students.

Student Information

Please enter your information

Preferred Pronouns

Preferred Title

Given NameRequired *

Preferred Name

Middle Name

Family NameRequired *

JCU Student ID

If you are a current JCU student, please use your 8 digit student ID number. This can be located on your student ID card.

EmailRequired *

If you are a current JCU student, please use your JCU email address.

Phone NumberRequired *

Admissions and Academic Information

Are you a prospective student or enquiring on behalf of a prospective student?

Are you a prospective student or enquiring on behalf of a prospective student? Yes Are you a prospective student or enquiring on behalf of a prospective student? No

Please let us know how you heard about us

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What campus are you attending?

Accessibility Specific Information

My diagnosis/health condition falls into the following categoryRequired *

Upload supporting document(s)

If you do not have any current supporting documentation, please click here to download a copy of our Treating Health Professional Report. Please complete and bring this to your first appointment.

Consent to Release Form

Please download the Consent to Release form here.

Please complete and upload as part of your registration with AccessAbility. You can email this form separately also to: accessability@jcu.edu.au.

How does your disability affect student life in general, like taking tests and studying?

How can we help you?Required *

Please provide a brief background to your request

Appointment Type:Required *

Please select your appointment preference:

Face to Face Phone Zoom

Preferred method of contactRequired *

Email Mobile or phone

Please indicate which day/s you prefer appointments to be scheduledRequired *

We will do our best to accommodate your preferred appointment days, but it may not always be possible.

Monday Tuesday Wednesday Thursday Friday

Do you have a preference for a male or female advisor?

Do you have a preference for a male or female advisor? Male Do you have a preference for a male or female advisor? Female Do you have a preference for a male or female advisor? No preference

Additional Appointment PreferencesRequired *

Please specify morning or afternoon and/or specific times for your appointment.

Consent for ServicesRequired *

I have read, understood and agree with Information about our Services and the Management of your Personal Information.
I am aware my personal information is being collected by the AccessAbility Services team on behalf of JCU for the primary purpose/s of providing AccessAbility-related services and academic adjustments. Failure to provide this information may result in the Service not being able to provide a full range of services or the University to provide adjustments to support me during my studies.
I am aware my personal information will only be used for the primary purpose for which it is collected and disclosed only to the following persons or organisations as required:
- JCU employees who require the information to properly carry out their duties, which may include Course Coordinators, Examinations and Placement Coordinators if required.
-Department of Education and Training as part of the regular statistics collection of recorded disability type as recorded on eStudent.
-If disclosure is required under the limitations on confidentiality as specified in the Information about our Services and the Management of your Personal Information
Acknowledge that I am to notify the Student Equity and Wellbeing by phone or email if I am unable to maintain a scheduled appointment, and I will attempt for notification to occur at least 24 hours prior to the appointment time.

By placing a check in this box, you agree to the statement above.

AccessAbility Services Registration

Student Information

Admissions and Academic Information

Accessibility Specific Information

Document Information