Q
UINCY
C
OLLEGE
|
PLYM OUTH & QUINCY CA M PUSES
FOCUSED ON TEACHING & LEARNING, ONE STUDENT AT A TIME
Quincy Campus, 1250 Hancock Street, Quincy, MA 023169 Suite 508
Plymouth Campus, 36 Cordage Park, Plymouth MA 02360 Suite 220
DISABILITY SERVICES OFFICE
Quincy CampusPete Luizzi, Phone: 617- 405-5915 FAX: 617-984-1792
Plymouth Campus - Phone: 617-984-1734 FAX: 617-984-1792
Created 07/30/14 STUDENT FORM
Alternate Format Digital File Agreement
As a qualified person to receive digital/audio files, you are legally responsible and bound by copyright laws.
Any electronic file provided to you by the Quincy College Disability Services Office is for your personal use
only and may not be share, copied or distributed to anyone else. Once you sell your copy of the book, the
electronic file associated with the book, should also be destroyed.
Please use the digital/audio files provided for your own personal research/study use only, not for shared
access.
Should any of your colleagues who are visually impaired or have any disabilities which prevent them
from accessing a print copy require this material, please ask them to contact the Quincy College
Disability Services Office directly for alternative electronic formats.
Do not distribute the digital/audio files via any means, whether electronic or print.
Do not use the digital/audio files for any monetary gain or for any commercial purpose; do not sell the
files.
Do not print/copy the digital/audio files for any purpose other than for your own personal research or
study.
Do not post the digital/audio files on any website including cloud-based services.
Do not license the digital/audio files for any purpose.
Should you require using the digital/audio files of this title for any use other than your own personal
research or study use, please contact the publisher for permission.
Due to academic integrity issues and the possibility that some of the materials may be under copyright, I agree
to abide by the terms of this Agreement as a condition for receiving course materials. If I received digital/audio
files in a disk format, I agree to return the disk to the DSO at the end of the semester. If I received the
digital/audio files in electronic format, I agree to destroy them at the end of the semester. I understand that a
violation of this Agreement may subject me to discipline under the Student Code of Conduct and/or subject me
to liability under copyright laws.
Student (print name): _____________________________________ ID No: ____________________
Student signature: ________________________________________ Date: _____________________
DSO Staff: Please attach copies of receipts for books or verify book possession before releasing disk(s)/Files to
the student.
Authorized DSO Official: __________________________________ Date: ____________________
Please give a copy of this form to the student
click to sign
signature
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Q
UINCY
C
OLLEGE
|
PLYM OUTH & QUINCY CA M PUSES
FOCUSED ON TEACHING & LEARNING, ONE STUDENT AT A TIME
Quincy Campus, 1250 Hancock Street, Quincy, MA 023169 Suite 508
Plymouth Campus, 36 Cordage Park, Plymouth MA 02360 Suite 220
DISABILITY SERVICES OFFICE
Quincy CampusPete Luizzi, Phone: 617- 405-5915 FAX: 617-984-1792
Plymouth Campus - Phone: 617-984-1734 FAX: 617-984-1792
Created 07/30/14 STUDENT FORM
To be completed at the end of the semester:
1) Return of disc (if applicable)
________________________________ ________________________________
Signature of borrower Staff Signature
________________________________ ________________________________
Print Name/ID no Print Name
________________________________
Date
2) Destruction of digital/audio files (if applicable)
My signature below confirms that I have destroyed the digital/audio files that were provided to me through this
agreement.
________________________________ ________________________________
Signature of borrower Date
________________________________
Print name/ID no
Submit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
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