Note Taking Support/Otter AI Accommodation Form

Name Name * First Last
Phone Phone * - ### - ### ####
ESU Email *
Student ID # *
What semester is this request for? (Spring, Summer, Fall, Winter, etc) *
To Be Completed By Student

This is the description of your section break.
During my intake interview I completed the OASIS Faculty Student Agreement for Audiotaping Class Lectures. I have read, understand, and signed the agreement that explains the conditions and limitations applying to audio recording lectures. *

During my intake interview I completed the OASIS Faculty Student Agreement for Audiotaping Class Lectures. I have read, understand, and signed the agreement that explains the conditions and limitations applying to audio recording lectures. Yes No Not sure
I understand that if I do not use OTTER for at least 2 hours a week in the first 30 days of receiving the license that my OTTER license will be deactivated. *

I understand that if I do not use OTTER for at least 2 hours a week in the first 30 days of receiving the license that my OTTER license will be deactivated. Yes No Not sure
I understand that Otter AI note support is to be used in conjunction with faculty provided notes, power points, study guides, handouts and supports provided by professors and large classroom assistants. *

I understand that Otter AI note support is to be used in conjunction with faculty provided notes, power points, study guides, handouts and supports provided by professors and large classroom assistants. Yes No Not sure
I understand that I will be contacted within 14 business days by the OASIS Assistive Technology Coordinator to schedule a zoom meeting. At this meeting OASIS will issue me the Otter AI license and provide me with training on how to use Otter and how to access the captioning, audio recording and/or transcript features. *

I understand that I will be contacted within 14 business days by the OASIS Assistive Technology Coordinator to schedule a zoom meeting. At this meeting OASIS will issue me the Otter AI license and provide me with training on how to use Otter and how to access the captioning, audio recording and/or transcript features. Yes No Not sure
I understand that I must complete this online request form each semester that I want to use the Otter technology (fall, winter, spring and summer). *

I understand that I must complete this online request form each semester that I want to use the Otter technology (fall, winter, spring and summer). Yes No Not sure
My signature below signifies the information above is correct. I understand that processing can take up to fourteen (14) business days.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY

Note Taking Support/Otter AI Accommodation Form

To Be Completed By Student