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Special Populations Self-Disclosure

Special Populations Department Survey & Disclosure Form

REQUIRED TO BE COMPLETED BY ALL NEW CREDIT SEEKING STUDENTS

In order to best serve the needs of each student, Chattahoochee Technical College would like to know if you meet any criteria listed in the definitions below. Please note that while this information is gathered to better serve your individual needs, it is also used for federal and state reporting purposes. Please provide the requested demographic information and check all sections that apply to you.

Please check all that apply