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Note Taker Request Form 2026
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Response
First Name
Required
*
MI
Last Name
Required
*
Email
Required
*
Campus
Required
*
Athens (including HCOM)
Chillicothe
Dublin
Eastern
eCampus
Lancaster (including Pickerington Center)
Southern (including Proctorville Center)
Zanesville (including Cambridge Center)
For what semester are you making this request?
Required
*
Fall
Spring
Summer
From whom would you like to receive your notes?
Required
*
Note taker
Student Accessibility Services
Class Name & Number
Required
*
(i.e. PSY 1010)
Class Meeting Days
Required
*
(i.e. MWF)
Class Meeting Times
Required
*
Please include start and end times
Class Instructor's Name
Required
*
Class Instructor's Email
Required
*