Apply to the WorkAbility IV Program

When applying to the WorkAbility IV Program, all students must complete and submit the following forms:

1. WorkAbility IV Referral (PDF)
2. DOR Consent to Release and Obtain Information (PDF)
3. DOR Employment Record (PDF)
4. DOR Health Questionnaire (PDF)

Completed forms should be brought to your first DOR appointment.

After your eligibility has been reviewed, you will be contacted to schedule a meeting with a DOR and WorkAbility Counselor.

Questions? Contact:

Shannon Williams-Morris
WAIV Program Assistant
(619) 594-1114
shannonw@sdsu.edu

General email: waiv.sasc@sdsu.edu 

For PDF files, download Adobe Acrobat Reader if needed.

For MS Word files, download Microsoft Word viewer if needed.