Accessibility Resources - Digital Text Request
If your accommodation requires printed materials to be auditory, please complete this form and return it along with a copy of proof purchase to Accessibility Resources in Room 112L. You may receive CDs, cassette tapes, or an electronic text file (E-file) of the material requested, if available through the publisher in a digital text format. Once the request is received, allow at least two (2) weeks for any material to become available. Please submit all requests to Accessibility Resources before the start of the term. Late requests will take longer to complete.It is the student’s responsibility to purchase ALL required course materials. INCLUDE A COPY OF PURCHASE RECEIPT. You may be asked for your textbook if we cannot obtain another copy.
Semester
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Fall
Spring
Summer
Contact Information
Student Name:
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First Name
Last Name
Student M#:
*
Student Email:
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example@example.com
Textbook Details
Textbook 1
Course Name/Number:
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Instructor:
*
Title of Textbook:
*
Edition:
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Copyright Date:
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Authors:
*
ISBN #:
*
Publisher:
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# of Pages in Book:
*
Add another Textbook?
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Yes
No
Textbook 2
Course Name/Number:
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Instructor:
*
Title of Textbook:
*
Edition:
*
Copyright Date:
*
Authors:
*
ISBN #:
*
Publisher:
*
# of Pages in Book:
*
Add another Textbook?
*
Yes
No
Textbook 3
Course Name/Number:
*
Instructor:
*
Title of Textbook:
*
Edition:
*
Copyright Date:
*
Authors:
*
ISBN #:
*
Publisher:
*
# of Pages in Book:
*
Add another Textbook?
*
Yes
No
Textbook 4
Course Name/Number:
*
Instructor:
*
Title of Textbook:
*
Edition:
*
Copyright Date:
*
Authors:
*
ISBN #:
*
Publisher:
*
# of Pages in Book:
*
Add another Textbook?
*
Yes
No
Textbook 5
Course Name/Number:
*
Instructor:
*
Title of Textbook:
*
Edition:
*
Copyright Date:
*
Authors:
*
ISBN #:
*
Publisher:
*
# of Pages in Book:
*
Any other questions or comments?
Submit Digital Text Request
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