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:
( ) Copy given to borrower Semester(s)
Loaned/Condition of Good Date
Returned/Condition of Tapes: Good Tapes: Fair Fair Damaged omments:
CDS Use Only
