Student Success Disability Resources Request for Note Taker Form Please complete this form after receiving approval of a note-taking accommodation. Please also note that hiring a note taker may take several weeks, so please plan your request accordingly. Disability Resources: Note Taker Request Form If you are human, leave this field blank. Are you registered with Disability Resources and have you been formally approved for a peer note taker accommodation? * Yes No “If you clicked ‘no’ then please see Requesting Academic Accommodations Name * Student ID * Preferred Email * Recommend a Note Taker * Recommending someone as note taker does not guarantee they will be hired. Course Information Course Name * Course Number (Example: B59 120 01) * Add Additional Course Remove Course Submit