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Captioned Media Request

Captioned Media Request

For students to request captioned media for course materials

Personal Information

Name(Required)

First Last

Email(Required)

NetID(Required)

University Affiliation(Required)

Which UConn campus do you attend?(Required)

Which semester is this for?(Required)

Course 1:

Course Title, Number and Section(Required)

Ex. POLS 2604-001

Instructor(Required)

Do you have another class that you need captioned media for?(Required)

Course 2:

Course Title, Number and Section(Required)

Ex. POLS 2604-001

Instructor(Required)

Do you have a third class that you need captioned media for?(Required)

Course 3:

Course Title, Number and Section(Required)

Ex. POLS 2604-001

Instructor(Required)

Do you have a fourth class that you need captioned media for?(Required)

Course 4:

Course Title, Number and Section(Required)

Ex. POLS 2604-001

Instructor(Required)

Do you have a fifth class that you need captioned media for?(Required)

Course 5:

Course Title, Number and Section(Required)

Ex. POLS 2604-001

Instructor(Required)

Name

This field is for validation purposes and should be left unchanged.