READER/SCRIBE ACCOMMODATION REQUEST FORM
This form should only be submitted by students who have been approved for "Oral Testing and/or Reader Scribe" accommodation and have this accommodation listed on their Atlantic Cape issued Accommodation Letter.

Please fill out one submission PER test. 

If your application is successfully submitted, you will receive a Reader/Scribe Request Confirmation. If you DO NOT receive a confirmation, your request was not successfully submitted.

Provide information in the fields below. Fields marked with a Red Asterisk need to be filled out. Be sure to click the Submit button when finished.

If your application is successfully submitted, you will receive a Reader/Scribe Request Confirmation.

If you DO NOT receive the confirmation message, your request was not successfully submitted.
Email *
Last Name *
First Name *
Student ID Number *
Buccaneer Email *
Choose the semester the accommodation is needed for: *
Course Number and Section (Example: Introduction to Computers, CISM-125-ME01)
*This information can be found on schedule or in self service.
 *
Instructor *
Testing Date *
Testing Appointment Start Time *
Testing Appointment End Time *
Campus *
Need Help?
For assistance, please email the Center for Accessibility at cfa@atlanticcape.edu or call 609.343.5680
A copy of your responses will be emailed to .
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