University
of Wisconsin Milwaukee
Student Accessibility Center
ALTERNATIVE TEXT
INDIVIDUAL USE AGREEMENT
I have provided the Student
Accessibility Center (SAC) with documentation of a disability, which
substantiates my need to receive textbooks or other copyrighted course
materials (hereinafter, “Course Texts”) in a format other than standard
print as a reasonable accommodation for my disability. Based on this
documented accommodation need, SAC may provide me with Course Texts in
an audio or electronic format (hereinafter, “Alternative Format”).
I acknowledge that SAC creates the
Alternative Format at my request from Course Texts that I provide to
the Alternative Textbook Coordinator at SAC. I agree to provide a copy
of the receipt or other proof of purchase to SAC for any Course Texts
that I request in Alternative Format.
I also agree that all Course Texts
provided to me in Alternate Format will be utilized only by me and only
for educational purposes consistent with the particular course. I will
not share or distribute any such Alternate Format Course Texts with
other individuals, regardless of my perception of their need for the
alternative format.
I agree that if I share any Alternate
Format Course Text with others, or use any Alternate Format Course Text
for an unauthorized purpose, SAC may reasonably refuse my requests to
use or receive such materials in the future.
I agree to return any audio tapes,
diskettes, compact discs or other file containing Alternate Format
Course Texts to SAC at the end of the course or upon SAC’s request,
without retaining a copy of the same. I also agree to delete all
digital audio files, such as MP3 files, or electronic text files from
my computer, portable player or network space at the end of the course.
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Print name
Signature
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Witness
Date