ALTERNATIVE MEDIA AGREEMENT FOR SERVICES
Name:
CSU ID:
___________
E-Mail: _________________________________________









I understand and agree to abide by the purchase and copyright
agreements stated in the front of textbooks and materials.
I agree not to copy, distribute, upload to a server, or sell any reformatted material
provided to me by The Office of Disability Services (ODS).
I understand that I must submit a syllabus and proof of purchase for every book I
request.
I understand that if I order materials and do not pick them up by the end of the
semester, my alternative media privileges will be suspended until I meet with my
Disability Specialist.
I will provide textbooks and other materials for reformatting. They will be in excellent
condition. I understand that documents with "dog-eared" pages, highlighter marks, or
hand written notes may not be accepted (will not scan well).
ODS is not responsible for any damage to the original material during the
reformatting process.
I understand that I must notify ODS immediately if there are any changes in the status of
a request, class schedules, course requirements, alternative format needs, or if some or
all the readings for a course are no longer needed or if the course is dropped.
I understand that I need to complete and submit an Alternative Media Request Form
to ODS each term for each item I would like to have reformatted.
I have read and understood the Alternative Media Policies and Procedures
Handbook.
By signing my name below, I agree I have read and understand these conditions.
(We encourage you to keep a copy of this agreement for your records.)
Student Signature:
Date:__________
Staff Signature:
Date:__________