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Activity Provider Request
Please submit this form to request accommodations for a public event at College of the Redwoods. Contact Human Resources if you experience any issues with this form or if you have questions about accommodations: hr@redwoods.edu or 707-476-4140.
*
indicates a required field
Activity Provider Request
Student ID
First Name
Required
*
Last Name
Required
*
Email
Required
*
Phone
Required
*
(###) ###-####
Type of Service
Required
*
Note Taker
Interpreter
Transcriber
Video Caption
Activity Type
Advising Appointment
Campus Event
Conference
Presentation
Activity Name
Required
*
Activity Date
Required
*
January
February
March
April
May
June
July
August
September
October
November
December
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2020
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2024
2025
2026
2027
2028
2029
2030
2031
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2033
Activity Start Time
Required
*
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02
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00
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am
pm
Activity End Time
Required
*
01
02
03
04
05
06
07
08
09
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11
12
00
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am
pm
Activity Location
Required
*
Video Title
Required
*
File Type
Required
*
File Type
URL
File Type
Other
URL
Required
*
Other
Required
*