Alternative Textbook Request Form

I understand that I am required to purchase the textbook before I can borrow an alternative textbook. It is a violation of federal and state copyright law, the GRCC Student Code of Conduct, and the policies and procedures of GRCC Disability Support Services for students to share, duplicate, upload or distribute alternative text media. I also understand that if I am found to have violated any of these laws or policies, I may be subject to criminal legal action and/or the GRCC Student Code of Conduct process.

If you would like all of your textbooks in the same format, there is no need to list the titles. Just click on your preferred format in the Title 1 Format Requested spot on the form. If you would like them in different formats, please list the titles individually.

We will contact you when your textbooks are in.

If you have any questions about this form, please contact Becky Allington at (616) 234-3597 or

Personal Information
Counseling Information
Please tell us the name of the counselor who referred you to this form
Course Information
Requested Titles
If you are requesting a textbook that comes in a bundle, please indicate ISBNs separately. If you would only like certain textbooks in alternate format, indicate so here, otherwise we will provide all textbooks. You can also choose to have different textbooks in different format below.