Equipment Request

To request the following equipment, you must be an eligible student of Southern State, meaning you have registered for classes at any of the four campuses and have been approved by the Office of Disability Services as needing such accommodations.

For a printer-friendly version of the form, please use this Equipment Request Print Form.

    Student Info
  • Proper format "name@something.com"
  • Proper format "937-555-0000"
  • Proper format "27722000123456"
  • Equipment Needed For
    • Audiobooks
    • Intel Reader
    • Notebook
    • Recorder
    • Smart Pen
    • Stethoscope
    • Victor Audio Reader
  • * Denotes Required Field