Self-Disclosure Form for Requested Student Services

Adult Students who have enrolled in classes at Western Suffolk BOCES/Wilson Tech and who wish to receive information about services and accommodations for students with disabilities should complete this form. You must complete this form even if you have already disclosed this information directly at any of the school locations.

When we receive this completed self-disclosure form, a person from the agency dedicated to assist you will contact you to answer any questions and to setup an intake. Western Suffolk BOCES can take no action on your behalf without your specific request.