Taft College Alternate Media Contract
Step 1
Name:
Student ID
Date:
Semester/ Year
Phone:
E-mail
Do you check your e-mail regularly?
Yes
No
Step 2
Have you received alternate media at Taft College before?
Yes
No
If yes, continue to step 3.
If no, please make an appointment to meet with the High Tech Center Access Specialist and continue
with step 4.
Step 3 (Complete only if you answered Yes to Step 2)
Electronic Text
Audio Book
Other
Doc
Kurzweil
PDF
Learning Ally
Bookshare
Braille
Large Print
Tactile Graphics
Comment
Step 4
For each textbook you are requesting, please list textbook title edition, author, ISBN, and class/Instructor.
Title
Office Use Only:
Date Received
Edition
Author
ISBN- 10 or 13
Check Receipts / Verification of Ownership
Class / Instructor
Taft College
Disabled Student Programs and Services Department (DSP&S)
Alternate Media Student Contract
Please read the information and type your name and date:
1. Persons requesting alternate media of their textbook(s) must have verification of a disability.
Students may schedule an appointment with our learning specialist to receive information about
eligibility. Please call 661-763-7799 for more information.
2. Students must currently be registered at Taft College and must be enrolled in the course for
which they are requesting alternate media.
3. Students requesting materials in alternate formats must own a physical copy of the textbook or
other course materials (if applicable) before alternate media is distributed.
4. Alternate media production may take up to 2 weeks. Orders will be completed in the order in
which they are received. Turn-around times may vary according to the type of request.
5. Materials provided to DSP&S for the purpose of converting to alternate format may be
disassembled and returned to the student in an altered condition.
6. Students will be provided with one alternate format copy of each material requested. The course
material provided in alternate format is for the sole use of the DSPS student who made the request
and was authorized to receive it. Students may not reproduce or distribute any alternate media
provided by DSPS. Doing so is violation of copyright law. Students may retain the alternate media
provided by DSPS for as long as they own a copy of the original material. Students who sell their
original material must return the alternate media to DSPS or agree to delete the files from their
computer.
7. Infringement of copyright law or any abuse of the alternate media student contract is subject to
suspension of the DSPS accommodation.
I understand and agree to the conditions stated above for receiving alternate media.
Student Signature
Date
Alternate Media Signature
Date