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.
Feel free to include Edition #, Authors First/Last Name, Publisher Name, which chapters you need, etc in the Message field.
*MSJC Student ID Number:
Student Email ends with @student.msjc.edu
*Course with Section Number (example: ENG-101-1234):
*Title of Book/Item:
Please select the type of Alternate Media you are requesting.
Kurzweil/Firefly (Screen Reader Software).
Audio Book (no text).
Large Print (please note the font style and size needed in the Message section).
In order for us to fulfill Alternate Media requests, the student is responsible for providing a copy of the receipt of purchase for requested books. 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.
I have purchased and received the book.
San Jacinto CampusMenifee Valley Campus