Request for a Note Taker

* required fields

Student information is to be completed by the requesting student. In order to receive a note taker this form must be completed. No note takers will be assigned unless this form is completed in its entirety.

Student Information
If campus, specify box #
Building and Room #
The volunteer student note taker in class The ODS office the next day

Declaration
I hereby authorize the Office Disability Services of Barry University to release/receive necessary information deemed relevant to disability accommodation and ODS program eligibility at Barry University.

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