Out-of Class Note-taker Application

Students applying to be Note-takers must have a valid social security number and a valid I-9, or approval to work at Northeastern through valid ISSI documentation.

* Indicates Response Required

Contact Information

First Name *

Last Name *

NU ID *

Husky e-mail address * 🛈

Street Address

Address Line 2

State

Zip Code

City

Student Status

Student Level *

Undergraduate

Graduate

Law

College of Professional Studies (CPS)

Major *

Undergraduate Major *

How many credits have you completed thus far? *

Are you going on co-op/internship this term? *

Yes

Do you have an on campus job? *

Yes

Have you worked as a Note-taker before at NU? *

Yes

Note: It is your responsibility to make sure you do not exceed the number of hours you are allowed to work

Term / Year you are applying to be a Note-taker for

Year *

Please specify what days of the week and what times you are available to attend other classes as an out of-class note-taker *

Disability Resource Center

360 Huntington Ave, 20 Dodge Hall, Boston, MA 02115

Phone: 617-373-2675, TTY: 617-373-2730, Fax:617-373-7800

www.northeastern.edu/drc