Vassar Accessibility Barrier Report
Which of the following best describes your position at the College?
If you are submitting this on behalf another individual (for instance, a student), please select their position.
Have you reported this barrier before?
(If Yes) Name of Person Contacted
Your answer
(If Yes) Contact's Position
Your answer
(If Yes) Contact's Department
Your answer
(If Yes) When did you report it?
MM
/
DD
/
YYYY
What kind of barrier did you encounter?
Please select the option that best describes the barrier. If none apply, select Other.
Next
Never submit passwords through Google Forms.
This form was created inside of Vassar Google Apps for Education. Report Abuse - Terms of Service - Additional Terms