A-Z Index | Directories

 
     
 
Alternate Format Textbook request form
 

REQUEST FOR TEXTBOOK IN ALTERNATE FORMAT

Please fill in all blanks to request a textbook in alternate format.

STUDENT NAME:
STUDENT ID #: CONTACT PHONE:
EMAIL ADDRESS:
SEMESTER NEEDED:

COMPLETE BOOK TITLE:

AUTHOR'S NAME:

ISBN NUMBER (look on the back of the title page of the book):
NOTE: This must be the ISBN number that is inside the book itself. Packages that include the book (such as book + CD or book + study guide)
have a separate ISBN number for the package. Providing that number will result in the order being returned and the book delivery being delayed.

EDITION NUMBER:         COPYRIGHT YEAR:

PUBLISHER:

COURSE NAME/NUMBER (e.g. ENGL 1101):

FACULTY NAME:

FORMAT PREFERANCE (if available):
Electronic Text: PDF Word Document
Audio: Audiobook

I have purchased this textbook and have a receipt. Yes     No
NOTE: A copy of the purchase/rental receipt must be provided to SDS via email (aredd2@kennesaw.edu), fax (470-578-6667), or drop off (Student Center Room 267).  

OTHER INFORMATION ABOUT THIS BOOK REQUEST (optional)

Contact Amy Redd (aredd2@kennesaw.edu) with any problems or concerns.

      

 

 

     
   

Student Disability Services
MD 0502 ST Bldg. 5 Rm. 269A
395 Cobb Ave NW
Kennesaw GA 30144

Feedback | 470-578-6443