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Disability Disclosure Form

Disability Status

A disabled person is anyone who: (1) has a physical or mental impairment which substantially limits one or more of the major life activities; (2) has a record of such impairment; (3) is regarded as having such an impairment. Please check beside any disability which applies to your situation.



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Middle Tennessee State University, in its educational programs and activities involving students and employees, does not discriminate on the basis of race, color, religion, creed, ethnic or national origin, sex, sexual orientation, gender identity/expression, disability, age (as applicable), status as a covered veteran or genetic information. For more information see Middle Tennessee State University. |  Nondiscrimination Policy