Office of Accessible Education
Notetaking Services Request Form

Please submit a separate form for each class in which you're requesting this service.

* indicates required fields.

Name *

First

Last

Stanford Email Address *

Last 3 digits of your SUID Number *

Disability Adviser (DA) or Learning Specialist (LS) *

Course Details

Please provide the following information for the class in which you are requesting notetaking services.

Bulletin - Explore Courses

Academic Term *

Class Number (5-digit number, e.g. 18809) *

Course Title (e.g. Intro to Anthropology) *

Department Code (e.g. ANTHRO) *

Course Number (e.g. 101A) *

Instructor's Name (First and Last) *

Instructor's Email Address *

Course meets on the following day(s) *
Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Lecture starts at this time *

Notetaking Details

I am requesting notes starting from
This week

The first day of classes

Notes are emailed to you directly from the assigned notetaker *
Release my Stanford email address to the assigned notetaker

Provide an alternate email address to the assigned notetaker

Alternate Email Address (if applicable)

Does the instructor make course notes/slides available? *
Yes

No

Is there a person in the class you would recommend as a notetaker?

Name

Stanford Email Address

User Agreement

Please read the OAE Notetaking Services User Agreement.

Do you agree to the terms as described in the OAE Notetaking Services User Agreement? *
Yes, I agree.

Additional Information

The Notetaking Coordinator will respond to your request directly.

Please skip. Do not fill this out.

Office of Accessible EducationNotetaking Services Request Form

Course Details

Notetaking Details

User Agreement

Office of Accessible Education
Notetaking Services Request Form