Text Conversion Service Agreement

Before requesting services, you need to have met with a Disability Resource Specialist and obtained an Accommodations Plan indicating that you are eligible for text conversion services. If you have questions, contact the Text Conversion Coordinator at (608) 246-6716 or email textconversion@madisoncollege.edu

Please read and agree to the following guidelines:

  1. I agree that I need to re-request academic support services each semester.
  2. I agree that I am responsible for accurately and thoroughly completing the Text Conversion Request for each class and text that I would like to obtain in an alternative format.
  3. I understand the importance of submitting my requests 4-6 weeks prior to the start of the semester in which the text is required.
  4. I understand it may take up to 3 weeks to get part or all of my text.
  5. I understand I might not always receive my texts in the format I prefer.
  6. I understand I may need to obtain special equipment to play my texts. DRS may be able to loan me some of this equipment, however I assume the responsibility to obtain this equipment elsewhere if needed.
  7. I understand materials converted for me are for my exclusive use and may not be reproduced, which would be an infringement on copyright law.
  8. I understand I must purchase the requested text/materials and provide DRS with a receipt. DRS will not provide converted materials without proof of purchase.
  9. I understand the importance of informing my DRS Specialist of any change in contact information or change in course schedule that could impact services provided.
  10. I agree to inform DRS immediately if I drop a class or no longer require a text in an alternative format.

By submitting this form, you affirm that you understand the services you are receiving and your responsibilities.

Both first and last
Same as your 7-digit OneCard number
Best number to reach you at - please include area code (e.g. 608-555-1234)