Service Request

To request the following services, 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 Service Request Print Form.

    Student Info
  • Proper format "name@something.com"
  • Proper format "937-555-0000"
  • Proper format "27722000123456"
  • Service Needed For
    • C-Print Captionist
    • Closed Captioning (for faculty use)
    • Interpreter
    • Test Proctor
    • Transcription
  • * Denotes Required Field

Points to Remember

  • Request must be made 48 hours before service is needed
  • Student must be present at time of transcription
  • Service must be provided at one of Southern State’s campuses
  • Request must be completed by student prior to appointment (student cannot spend transcription time to "finish" the paper)