Please fill out the form and click submit. Required fields are marked*.
When alternate formats are ready to be picked up in DSPS (Menifee or San Jacinto), DSPS will notify students by e-mail (MSJC student e-mail accounts). The materials will be available at the campus indicated below. Students will need to bring in a flash drive that is large enough to hold the electronic files (if applicable).
Select the DSP&S office where you would like to pick up your Alternate Media material in the Campus section at the bottom of the form.
*MSJC Student ID:
Title of Book/Item:
Author's Last Name:
Author's First Name:
Please select the type of Alternate Media you are requesting.
Electronic Text (PDF).
Large Print (please note the font needed in the Message section).
A copy of the textbook must be presented to DSP&S by the student at the time of picking up your materials. This is to verify studentís ownership of the textbook they are requesting DSP&S to adapt. By signing below I affirm that I own the textbook that I am requesting DSP&S to adapt into Alternate Media. If you do not present us with a copy of the book, we will not give you the materials requested.
I understand that it may take up to four weeks to receive alternate media materials. I also understand that some materials are not available from outside sources, and I may be asked to provide my book to be cut and scanned in order to facilitate this request.
Confirmation of ownership.
San Jacinto CampusMenifee Valley Campus