Fillable Mobility Services Request Form (Crafton Hills College)

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Mobility Services Request Form (Crafton Hills College)

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Disabled Students Programs and Services (DSPS)
Mobility Services Request Form
Name: Student ID:
I will need tram services for (please select one):
Entire Semester
Date range from
to
List the days, times, and locations for which you are requesting pickups and drop-offs below.
Day of Week
Pickup Time
Pickup Location
Drop-off Location
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Insert pickup location
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Insert pick up time
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Insert drop-off location
Insert day of week
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DSPS is not responsible if students are late to class; so please plan request times accordingly.
Students who no-show for 5 or more scheduled tram rides may be removed from the tram schedule
and be considered for on-call rides only.
Students should call to notify the DSPS office if scheduled tram rides will not be needed for a
particular day or if any schedule changes are needed. DSPS office number: (909)389-3325
If student no-shows for first scheduled tram ride of the day, DSPS will consider the student to be
absent and will not plan for remainder of rides that day, unless notified otherwise.
DSPS is not responsible for lost or stolen items while receiving tram services.
Student Signature
Date
Crafton Center (CCR) 101Ph one Number (909)389-3325 chc_dsps@craftonhills.edu
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Mobility Services Request Form (Crafton Hills College)

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Completed 4 September 2020

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