Home - Owens Community College
Campus Toledo Rep: Theresa Capra-Roberts
Findlay Sue Emerine
ALC Kurt Soltman
Source
Workforce
Name Semester
OCID # Date
Phone #
PLEASE CHECK THE LETTER OF EACH REQUESTED ACCOMMODATION.
|1. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
|2. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
|3. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
DATE RECEIVED DATE PROCESSED
LETTER PRINTED
|4. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
|5. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
|6. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
|7. CRN # |Course |Number |Section |
| | | | |
|Course Start Date | |
Requests: Web Course
| A. 1½ Time | B. Double Time | C. Tests/Quiz - Alt Format |
| D. Text - Alt Format | E. Notetaking | F. Enlarged Materials |
| G. Interpreter | H. Scribe | I. Reduced Distraction |
| J. Computer | K. Calculator | L. Tape – Lectures |
| M. Transcription | N. FM System | O. Other (List) |
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