Delta College logoDelta College: Serving Bay, Midland, and Saginaw counties since 1961

Notification to Instructor Release Form

Notification to Instructor Release Form

Students should allow two business days for processing of the request. Student can pick up letters at the Office of Disability Resources. For online classes, the letter will be emailed to the student and faculty as faculty may be off campus. Call 989-686-9794 for assistance.

First Name
Last Name
Student ID Number
Phone Number
E-Mail Address

 
Semester


Class 1
Instructor Name
Course
Section
Online


Class 2
Instructor Name
Course
Section
Online


Class 3
Instructor Name
Course
Section
Online


Class 4
Instructor Name
Course
Section
Online


Class 5
Instructor Name
Course
Section
Online


Class 6
Instructor Name
Course
Section
Online
By pressing continue I understand I am submitting the request and agreeing to the release of my information regarding my approved reasonable and appropriate accommodations to the faculty names above.

1961 Delta Road, University Center MI 48710 | 989-686-9000 | info@delta.edu
Delta College is an Equal Opportunity Organization, committed to excellence through inclusiveness and diversity.
Copyright ©