Alternative Text Request
Please complete all required fields and fill out optional fields as you are able. Submit the form for each book you are requesting in an alternate format. Do your best to submit the form two or more weeks prior to when the textbook is needed. Contact the Office of Accessibility if you have any questions.
Email address *
Staff/Faculty/Student Name *
Your answer
Staff/Faculty/Student ID *
Your answer
Book Title *
Your answer
ISBN # *
Your answer
Author(s) *
Last Name, First name, Middle initial. Please use semi-colon between multiple authors (Ex. Johnson, John J.; Frederick, Freddy F.)
Your answer
Publisher
Your answer
Book Edition
Your answer
Copyright Date
MM
/
DD
/
YYYY
What format do you need? *
Required
Professor/Student Name *
Your answer
Course Section and Number *
Ex. ART116, MAT143, MGT341
Your answer
Semester *
Date when textbook is needed (if different than semester start date)
MM
/
DD
/
YYYY
If the books, text, or course materials need to be cut and scanned, how will you get a hard copy to us?
This helps both of us in case you are not on campus but would like alternate formatting. NOTE: If your books are "to be determined," or "unavailable," we can contact the professor and pick them up.
Campus Location *
A copy of your responses will be emailed to the address you provided.
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