Fillable Procedure for Requesting Textbooks in Alternative Format llege (College of Southern Maryland)

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Procedure for Requesting Textbooks in Alternative Format llege (College of Southern Maryland)

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Please Attach Text Book Proof of Purchase
Procedure for Requesting Textbooks in Alternative Format
1. The Co
llege of Southern Maryland is committed to making individuals with
disabilities full participants in its programs, services, and activities, in
compliance with Title II of the Americans with Disabilities Act as Amended,
Section 504 of the Vocational Rehabilitation Act of 1973, and all other pertinent
federal and state laws.
2. Students s
eeking textbooks in alternative format must receive approval for this
accommodation from the Disability Support Services Office. The college
recognizes its responsibility and will make every attempt to provide the services
when requested.
3. The col
lege, therefore, recognizes that for some individuals with disabilities,
printed materials may be inaccessible and an alternate format, such as
audiobooks, books scanned for use with adaptive software, large print text, or
text in Braille is required to ensure equal access to course materials.
4. Individua
ls who are eligible for text/books in an alternate format must follow the
procedures for requesting this service. It is also important for individuals to
understand that while some formats can be made accessible in a relatively short
time span, such as six (6) weeks, other formats, such as Braille, can take over
four (4) months.
5. The ADA Coordinator/Disability Support Coordinator will take the student's
specific format request into consideration when seeking and obtaining
alternative format materials. However, students are advised that every
text/book will not be available in the alternate format of their choice. In
addition some text/books will not lend themselves to certain alternative formats.
Should this occur, the college will inform the student, discuss alternatives, and
provide a format that is accessible. Any request made without regard to the
printed guidelines, will be addressed in the order in which it is received and may
result in receiving the requested materials after the date needed.
6. Students must first fill out the "Request for Accommodations" form and provide
documentation of their disability from a qualified, licensed professional. The
ADA Coordinator/Disability Support Coordinator will evaluate the student's
request for text/books in alternative format.
7. Once the request is approved, students must fill out the Request for Alternative
Format Form to receive an alternative format. Students are required to provide
ADA Coordinator/Disability Support Coordinator with the following:
• The full
course name and section
• The instructor's name, if available at time of registration
• All information pertaining to the text: Title, author, publisher, edition & ISBN
number
• Proof of textbook purchase
• Students are responsible for verifying the quality of the alternate format and
informing the Academic Support/ADA Coordinator or Disability Support
Coordinator of any problems within three (3) days
• Return all alternative format text the last day of class
8. Students are
responsible for acquiring and providing their own equipment, or
make other arrangements, to be able to access their alternative format texts
while not at the college.
9. In case
s where students may require scientific or other technical text, the ADA
Coordinator/Disability Support Coordinator will work with the student and the
academic department to obtain the information regarding required text books.
The student must make the request at least four (4) months before the
beginning of the class. This is especially true when Braille is required.
10. Students
are required to purchase a copy of each required text, or book that is
necessary for the completion of the course, to be put in alternative format, and
submit proof of purchase to the ADA Coordinator/Disability Support Coordinator.
11. Students
with personal Learning Ally membership are responsible for complying
with Learning Ally’s membership requirements.
12. Alte
rnate formate request are handled through multiple sources such as
publishers, Learning Ally, Bookshare, etc.
13. If y
ou need this information in an alternate format, please call the DSS Office on
your campus:
La Plata: 301-934-7614
Prince Frederick: 443-550-6009
Leonardtown: 240-725-5420
_____
_______________________________________ ___________________
Signature of Student: Date:
_____________________________________________ ___________________
Parent/Guardian Signature if student is under 18: Date:
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Please Attach Text Book Proof of Purchase
Request for Text/Books in Alternate Format Form
Format Requesting:
Large print: _ Text on CD: _ Text on Flashdrive: _ Braille: _ Kurzweil Universal Library: _
Student Information:
Name: ___________________________________________ Date: ________________
Address: _________________________________________ Phone: _______________
City: ______________________________ State: __________ Zip: __________
______
E-mail:
_ _______________
_____________________________________ Student ID:
___________
___________________________________________________________
___________________________________________ ___________
: ________________
___________________________________________
__________________
___________________________________________ __________
_
___________________________________________________________
________________________
_ __________________ ________
_____________________________________
______
__________________
Campus: La P
lata Leonardtown Prince Frederick Waldorf Hughesville
Books Requesting in Alternate Format:
Course: ___________________________________
________ Section #
Title of Text:
Author: _________________
_______ Edition: _________ ISBN: __________________
DSS Only
Dat
e Completed: __________ Method: _____________ Cont
acted: _________
Course: Section #
Title of Text
Author: ________________________ Edition: _________ ISBN:
DSS Only
Date Completed: __________ Method:
_____________ Contacted: _________
Course: Section #
Title of Text:
Author: Edition: ISBN:
DSS Only
Date Completed: _
_________ Method: _____________ Contacted: _________
Course: Section # ___________
Title of Text: ___________________________________________________________
Author: ________________________ Edition: _________ ISBN:
DSS Only
Date Completed: __________ Method: _____________ Contacted: _________
Course:
_______________________________
____________
Section # ___________
Title of Text: ____________________
_______________________________________
Author: ________________________ Edition: _________ ISBN: __________________
DSS Only
Date Completed: __________ Metho
d: _____________ Contacted: _________
Course: ___________________________________________ Section # ___________
Title of Text: ___________________________________________________________
Author: _______________
__
_______ Edition: _________
ISBN: __________________
DSS Only
Date Completed: __________ Method: _____________ Contacted: _________
Course: ___________________________________________ Section # ___________
Title of Text: ___________
________________________________________________
Author: ________________________ Edition: _________ ISBN: __________________
DSS Only
Date Completed: __________ Method: _____________ Contacted: _________
Course: ___________________________________________ Section # ___________
Title of Text: _____
______________________________________________________
Author: ________________________
Edition: _________ ISBN: __________________
DSS Only
Date Completed
: __________ Method: _____________ Contacted: _________
Course: ___________________________________________ Section # ___________
Title of Te
xt: __________________________________________________________ _
Author: ________________________
Edition: _________ ISBN: __________________
DSS Only
Date Completed: __________ Method: _____________ Contacted: _________
Course: ___________________________________________ Section # ___________
Title
of Text: ___________________________________________________________
Author: ________________________ Edition:
_________ ISBN: __________________
DSS Only
Date Completed: __________ Method: _____________ Contacted: _________
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Procedure for Requesting Textbooks in Alternative Format llege (College of Southern Maryland)

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Completed 26 July 2020

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