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Alternate Format Form

This form is intended only for use by students already registered with the Access Center with this approved accommodation.

 

Name:  Last, First
 
Metro E-mail:  
 
Student I.D.#:  
 
Semester Requesting Alternative Format:  
 
Do you have screen/document reading software on your personal computer?   
 

It is important to note that all print material must be purchased for conversion into alternative format. Please bring your books to our office for processing. Conversion time can vary but it generally takes 2-6 weeks from the time we receive your book. Print material already available in our archives, obtained from the publisher or learning Ally Formerly known (RFB&D) will require proof of the purchase (original receipt) before any converted material will be released to the student. In the process of scanning your books, the pages will be cut from the binding. When the conversion process is completed, the pages will be comb-bound and returned to the student. (Please refer to Alternative Text Policy and Procedure Form in the forms section of our website, Alternative Format Policies & Procedures, regarding additional information.)

 

1) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
 

2) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
 

3) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
 

4) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
 

5) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
 

6) Print Material Information
 
Title:  
 
ISBN#:  
 
Author:  
 
Publisher:  
 
Year:  
 
Edition:  
 
Requests received after the semester begins must be accompanied with a course syllabus. In order to meet immediate needs of as many students as possible after the semester begins, alternative formatted material may be provided in stages based on the course syllabus and direction from the requesting student. Requests are processed in the order they are received. I agree not to reproduce or distribute any alternative text materials nor can anyone else be allowed to do so. Any further reproduction or distribution is considered copyright infringement. By submitting this form, I understand the outlined conditions and agree to these terms.