Alternative Format Contract

 

 

Name:                                                                   Date:                                           

 

Address:                                                               Home Phone:                              

 

                                                                            Work Phone:                               

 

E-mail:                                                                  U of U ID#:                                 

 

 

I,                                                                           , hereby request to participate in the Alternative Format Program at the Center for Disability Services.

 

I understand:

 

·        This is an accommodation provided to me at not cost.  I am responsible for returning audiocassette tapes loaned to me in good condition.

·        Textbooks are copyrighted material, so I, the student, must own a copy of the book in order for it to be converted to an alternative format.

·        The CD/MP3/audio cassettes are protected by copyrightã.  I may not sell, share, or reproduce these materials.

·        Audiocassette tapes loaned to me are the property of the University of Utah, The Utah AHEAD Consortium, Utah State Library for the Blind and/or RFB&D.

·        All audiocassette tapes must be returned by Finals Week of that Semester. We will make reasonable efforts to contact you, but please do not wait for a call from our office.

·        If audiocassette tapes remain outstanding, CDS will place a hold on your academic records.  (See General Catalog, under “Registration,” The University withholds registration privileges, diplomas, and copies of academic records and transcripts, until all obligations are met.) 

 

 

 

Borrower Signature:                                               Date:                                           

CDS Use Only

                                                                                                                (  ) Copy given to borrower

 

Semester(s) Loaned/Condition of

 

Good

Date Returned/Condition of Tapes:     

 

Good

Tapes:                                                      

 

Fair

                                                                   

 

Fair

 

 

 

 

 

 

 

Damaged

omments: