Notetaker Request Form Name_____________________________ ID#__________________ Semester/Year______________ *We use the Marquette email system to contact students* I will need notetakers for the following classes: Course Name PSYC 1001 (sample) Section 102 Days MWF Hours 9am OFFICE ONLY: Instructor Notetaker Hired Other students? Freud As the recipient of notetaking services, I agree to: 1. Attend all of my classes once and have verified that there are NO supplemental notes provided by my instructor for each of the classes listed above. (Ex. power point slides) 2. Retrieve these notes on a weekly basis, 3. *Notify ODS as soon as possible should I drop the class or no longer need notetaking assistance, and 4. *Notify ODS if I am dissatisfied with the quality of the notes or if I am not receiving the notes in a timely manner. *Please note: Use the note recipient forms available in the office to report problems with the notes. _____________________________________________________ Student Signature _________________________ Date Office of Disability Services Marquette University P.O. Box 1881 Milwaukee, WI 53201 Phone: 414-288-1645 Fax: 414-288-5799 ODS 07/2013