Forms Manager

Kurzweil Request Form

Kurzweil Request Form

Books are converted on a "first-come, first served" basis. Please note that Student Accessibility Services experiences a high volume of requests at the start of the semester. Be patient with us as we try to satisfy all requests.

Use the following links to find your booklists:

CSB Bookstore (CSB classes): http://bookstore.csbsju.edu/csb/buy_main.asp
SJU Bookstore (SJU classes): http://bookstore.csbsju.edu/sjub/buy_main.asp

Last Name:

First Name:

Email Address

Banner Student ID #:

Please list the AUTHOR, TITLE, ISBN #, EDITION, CLASS SECTION, and PROFESSOR of the books you would like uploaded into your Kurzweil account. You MUST list the author, title, ISBN #, edition of the book, class section, and professor in order for us to accept your request.

Book	Title	Author	ISBN	Edition (N/A if no edition)	Class Section (ex POLS 121)	Professor
Book 1
Book 2
Book 3
Book 4
Book 5
Book 6
Book 7
Book 8
Book 9
Book 10
Book 11
Book 12
Book 13
Book 14
Book 15

I choose not to request any books at this time. I would like my Kurzweil account download instructions for internet and canvas reading purposes.

Additional Comments

The College of Saint Benedict and Saint John's University requires you to certify your agreement to not distribute, replicate, or copy in any way the documents given to you by Student Accessibility Services. By typing in your full name below you are agreeing to the above statement.

In the process of textbook conversion, I may choose to bring purchased textbooks to Student Accessibility Services for conversion. I acknowledge that Student Accessibility Services will physically alter those books in an effort to provide digital access. I acknowledge that Student Accessibility Services is not responsible for reimbursing costs should I choose to modify my schedule. I also acknowledge the office is not responsible for the costs or penalties for any rented textbooks that I provide to be converted.

Enter Electronic Signature

Type your full name here

Please upload a picture of your book receipt(s) here. A digital copy of your book will not be provided until we receive a receipt or proof of purchase.

We are required by law to collect your proof of purchase