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<p class="MsoNormal">Here's the top of our request form --<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><!--[if gte vml 1]><v:rect id="_x0000_s1026" style='position:absolute;
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 mso-wrap-edited:f' strokeweight="1.75pt" /><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:relative;z-index:-1"><span style="position:absolute;left:-38px;top:-12px;width:712px;height:159px"><img width="712" height="159" src="cid:image001.png@01CC568F.31650D80" v:shapes="_x0000_s1026"></span></span><![endif]>As
 a University of Montana-Missoula student with a print disability, I request that Disability Services for Students convert the title below to an electronic format, which is accessible to me, for my personal educational use only.  I also ask that DSS submit
 this title in its converted form to Bookshare.org on my behalf. I certify that I have purchased this book in print and understand that this form or information provided by me on this form may be submitted to the book publisher or the publisher’s authorized
 representative/distributor.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Signature: ____________________________________      Date: _______________________<o:p></o:p></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">Dan Burke<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">Assistant Director/Assistive Technology Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">Disability Services for Students<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">The University of Montana<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">Emma B. Lommasson Center 154<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">Missoula, MT 59812<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">406.243.4424<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">406.243.5330 FAX<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Times New Roman","serif";
color:#1F497D">www.umt.edu/disability<o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> athen-list-bounces@mailman1.u.washington.edu [mailto:athen-list-bounces@mailman1.u.washington.edu]
<b>On Behalf Of </b>Martin, Susan<br>
<b>Sent:</b> Tuesday, August 09, 2011 8:34 AM<br>
<b>To:</b> Access Technology Higher Education Network<br>
<b>Subject:</b> [Athen] RE: textbook purchases<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">In our policy, we let students know that they need a receipt on file or proof of possession in order to pick up their alternative text.  We ask for a copy of the receipt or if in a rare case they don’t have it,
 we ask that they bring in their “textbook” and sign a Proof of Possession statement saying they have possession of it.  A staff person from our office  signs this as well as witness.  <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F497D">Susan J. Martin M. Ed<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F497D">Interim Director</span></b><b><span style="font-size:10.0pt;color:#1F497D"><o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F497D"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><span style="color:#1F497D">The Learning Accommodation Center-RM Sc111B<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Northern  Essex Community College<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">100 Elliot Street, Haverhill, MA 01830<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Tel#  978-556-3647<o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> athen-list-bounces@mailman1.u.washington.edu [mailto:athen-list-bounces@mailman1.u.washington.edu]
<b>On Behalf Of </b>Keith Kolander<br>
<b>Sent:</b> Tuesday, August 09, 2011 10:13 AM<br>
<b>To:</b> 'athen-list@u.washington.edu'<br>
<b>Subject:</b> [Athen] textbook purchases<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Greetings,<o:p></o:p></p>
<p class="MsoNormal">There are ongoing discussions regarding students<o:p></o:p></p>
<p class="MsoNormal">showing proof of purchase of a textbook.<o:p></o:p></p>
<p class="MsoNormal">How do you handle your different scenarios or exception cases?<o:p></o:p></p>
<p class="MsoNormal">Thanks for any comments on this.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Keith Kolander<o:p></o:p></p>
<p class="MsoNormal">Adaptive Technology Specialist<o:p></o:p></p>
<p class="MsoNormal">St. Charles Community College<o:p></o:p></p>
<p class="MsoNormal">Cottleville, MO 63376<o:p></o:p></p>
<p class="MsoNormal">636 922-8492<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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