Accessibility Services, Students, E-Text Request

TODAY'S DATE Required

E-Text and Copyright Agreement. Please CHECK ALL the items below. By checking all the items, you are agreeing with the terms of the request. Required

I have provided the receipt(s) for ALL the requested books

I understand it may be necessary to cut the book bindings to produce the alternate formatted e-text

I understand it may take up to 2 weeks to receive my e-texts

I agree NOT TO COPY or REPRODUCE my e-texts pursuant to the Copyright Revision Act of 1976 as amended

I understand that any violation of this agreement may be considered a violation of the PPCC Student Code of Conduct

For concurrently enrolled high school students: My high school purchased my books. My high school's name is:

OPTIONAL. If available, you can upload a copy of the receipt here.

First Name Required

Last Name Required

S Number Required

Email Address Required

Phone Number Required

Semester Required

Fall

Spring

Summer

How would you prefer to receive your e-text? Required

Email link (via Google Drive)

I will bring a thumb drive

How will you use your e-text? Required

Listen to it

Read it on my device

Both

Which of the following operating systems does your device run? Required

Windows

Android

Chrome OS (Chromebook)

iOS (Apple devices, iPhone, iPad)

MacOS X (All Mac computers)

Kindle Fire

Linux

Not Sure

Book #1 Title and Edition Required

Author(s) Required

Publisher Required

ISBN # (13-digits) Required

Book #2 Title and Edition

Author(s)

Publisher

ISBN # (13-digits)

Book #3 Title and Edition

Author(s)

Publisher

ISBN # (13-digits)

Book #4 Title and Edition

Author(s)

Publisher

ISBN # (13-digits)

E-Text Request

E-Text Request Form