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  • EAC Student Request for Accommodations

  • This NEW form replaces others previously used to request audio recording, note taking and extra time on quizzes and exams.

    Select ALL accommodations you are requesting for each class.

    Please allow 3–5 business days for processing. It may take longer during busy times.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Class 1 Accommodations*
  • EAC USE: Class 1 Accommodations
  • EAC USE: Apply these accommodations to all classes?
  • Request accommodations for another class?*
  • IGNORE: Request the same accommodations as Class 1? (now hidden)
  • Class 2 Accommodations*
  • EAC USE: Class 2 Accommodations
  • Request accommodations for another class?*
  • IGNORE: Request the same accommodations as Class 1? (now hidden)
  • Class 3 Accommodations*
  • EAC USE: Class 3 Accommodations
  • Request accommodations for another class?*
  • HIDDEN: Request the same accommodations as Class 1? (now hidden)
  • Class 4 Accommodations*
  • EAC USE: Class 4 Accommodations
  • Request accommodations for another class?*
  • HIDDEN: Request the same accommodations as Class 1? (now hidden)
  • Class 5 Accommodations*
  • EAC USE: Class 5 Accommodations

  •  

    Student Acknowledgment for Audio Recording

    Audio recording is an authorized accommodation intended to enhance access to course content and note taking. The approved recording tool may also generate transcripts and summaries to aid learning.

    Student Agreement

    By signing and submitting this request, I acknowledge and agree that:

    • I will only use the recording tools approved by the EAC.

    • I will not share the recordings, transcripts, or summaries with anyone except when approved by the instructor and EAC.

    • I will not distribute the recordings, transcripts, or summaries online.

    • I will pause the recording during private conversations or class activities that are unrelated tothe course content being presented.

    • All audio recordings will be deleted at the conclusion of the course.

    • I understand that failure to comply with this agreement may be addressed under the Student Code of Conduct.

    Acknowledgment

    I have read and understand the conditions above. I agree to follow them in every class for which I request and receive authorization to use audio recording as an accommodation.

  • {date21}
    {studentName}
    {studentId}

    I acknowledge:

    • EAC will review my request for accommodations and prepare notification only for the classes I included in this form;
    • Only EAC-approved accommodations will be included;
    • An email will be sent to my professor(s) and I will be copied on the email.

  • Please allow 3 - 5 business days for processing. It may take longer during busy times.

     

    Click SUBMIT to complete your request.

     
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