Gallaudet University
The Center of Academic Programs and Student Services (CAPSS)

CAPSS > Office for Students with Disabilities > Forms

Audio Request Form

Print a hard copy and submit by mail, fax or in person.

Student Name:  

  

e-mail address:

Faculty or Staff Name:  

Course Name:  

Date of Request:  

Date Needed:  

Type of Material to be Read:

Test / Exam / Quiz

  

Course Textbook (By Page)

If choose "By Page", give page number - From to

Course Textbook (By Chapter)  

If choose "By Chapter", give chapter - From to

All of this Course Textbook

  

Handout

  

Brochure

  

Notes

  

Letter / Memo

  

Newsletter / Magazine

  

Other    If choose "Other", describe

 

Title of Material: 

  Number of copies needed:

Method of Delivery or Pick Up:

OSWD will deliver to: 

Student will pick up - e-mail or phone #: 

Faculty/Staff will pick up - e-mail or phone #: 

Thank You.

For more information or assistance, contact:

Center for Academic Programs and Student Services (CAPSS)
Gallaudet University   Office for Students With Disabilities
Student Academic Center Room 1220
800 Florida Ave. NE
Washington, D.C.20002-3659
(202) 651-5256 (V/TTY)
oswd@gallaudet.edu