Disabled Students Program: UC Berkeley

DOR: Quick Tips and Forms

Referring Participants

We accept all referrals that are in any phase of their UC Berkeley education, and who have graduated no more than a few years ago. We prefer to start working as soon as possible with a participant so that we can connect them with internships and other opportunities along the way.

To Refer

  1. Send the participant's signed consent forms + IPE to our physical address:
    WAIV Program
    2111 Bancroft Way #4350
    Berkeley, CA, 94720
  2. Upon receipt, we will contact the participant at the address given on the form and schedule an intake appointment.

** Please remember to code the participant to us: Project Code: c05

Our 2-Way Referral Form

We have a referral form |PDF| that we use as a standard way of gathering necessary information about a participant and also for referring a participant to DOR.

It's not necessary for you to send us our referral form if you send us a participant's signed consent form. If, however, you would like to first refer using our referral form and follow up with the signed consent forms + IPE, that's fine. You can have the participant sign our form and fax it to us at (510) 642-6120 (attention: WAIV).

If you have questions, please don't hesitate to contact us.

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