Request for Books in Alternative Format

In order for the Disability Resources Office to obtain your books in an alternative format you must fill in the following information completely. Requests should be submitted at least 3 weeks prior to the start of the semester/ term. This will help ensure your books will be received in a timely manner. Please do not hesitate to contact us if you have any questions.

Please note that you have successfully submitted your request when you receive an automatic response email from Disability Services. If you have not received an email, please contact DRO immediately.

Requestor's Information
Provide all the information requested.
First Name
Last Name
Student ID
HPU Email
Semester/Term Books Needed

Book Information

The information below can be found via the HPU Bookstore textbook website: http://bookstore.hpu.edu/buy_main.asp

Book #1
Please Fill Out All Fields Below
Book Title
Last Name of Author
Edition
Course and Course No.
(ex: MGMT 1000):
Instructor
   
Book #2
Please Fill Out All Fields Below
Book Title
Last Name of Author
Edition
Course and Course No.
(ex: MGMT 1000):
Instructor
   
Book #3
Please Fill Out All Fields Below
Book Title
Last Name of Author
Edition
Course and Course No.
(ex: MGMT 1000):
Instructor
   
Book #4
Please Fill Out All Fields Below
Book Title
Last Name of Author
Edition
Course and Course No.
(ex: MGMT 1000):
Instructor
   
Book #5
Please Fill Out All Fields Below
Book Title
Last Name of Author
Edition
Course and Course No.
(ex: MGMT 1000):
Instructor
   

Terms and Conditions
Please read the following terms and conditions carefully and initial next to each statement.

I understand that by submitting this request, DRO may need to share relevant information such as my name, HPU email and disability category to alternative format providers such as Learning Ally and/or Publishing companies in order to acquire my requested materials.
I understand that any alternate media provided to me is solely for my own educational purposes. I will not copy or distribute any such alternate media in violation of the Copyright Revisions Act of 1976.
I understand that I have or will purchase the requested book(s) and will provide the Disability Resources office with a copy of the receipt as soon as possible.
I will update my request as soon as possible if my course schedule changes.
I have read and understand the terms and conditions of this agreement and will abide by them.
 
Disability Resources Office disabilityresources@hpu.edu