Disabled Student Programs & Services
3000 Campus Hill Drive | Room 1615, Livermore, CA 94551
(L): DSPS Data | New Forms | Final Drafts 6.10.19
ALTERNATIVE MEDIA AGREEMENT FORM
By signing below, I agree to the following:
I will not distribute to anyone else, nor allow anyone else to copy or
reproduce any alternative media provided by the Disabled Students
Program & Services (DSPS).
I
understand that sharing my alternative media resources with others may
result in disciplinary action by the college and that improper use of
copyrighted materials is illegal.
All questions regarding Alternative Media Formatting should be addressed
to the Alternative Media Specialist, Karen Zeigler at
kzeigler@laspositascollege.edu
.
If submitting this Alternative Media Agreement Form may be done in
person or by email to Karen Zeigler in the Disability Resource Center or by
email at kzeigler@laspositascollege.edu
.
Student Name:
W#:
Signature:
Date:
Staff Signature:
Date: