Alternative Format Text Request Form

Alternative Format Textbook (AFT) Agreement
  1. You may only request AFT if you have been approved for this accommodation.
  2. You must be registered for the course you are requesting Alternative Text.
  3. You must have purchased a print copy of the book and present it along with the receipt when submitting the book request.

No alternative text will be distributed until you have signed the Student Alternative Text Contract.   If you have questions about the contract, please contact resourcehub@lafayette.edu.

In order to submit a request, you must have read and agreed to the terms. Check the box below to confirm.

I have read and agreed to the terms above.

Date (YYYY-MM-DD)

First Name

Last Name

Lafayette Email

Semester for request

Request 1
Title:

ISBN (13 digits preferred):

Author:

Publisher/Copyright Date:

Course CRN:

Request 2
Title:

ISBN (13 digits preferred):

Author:

Publisher/Copyright Date:

Course CRN:

Request 3
Title:

ISBN (13 digits preferred):

Author:

Publisher/Copyright Date:

Course CRN:

Request 4
Title:

ISBN (13 digits preferred):

Author:

Publisher/Copyright Date:

Course CRN:

Proof of purchase can be uploaded here.
Receipt 1:
Receipt 2:
Receipt 3:
Receipt 4: