Northeastern University

Notetaker Concern Sheet

* indicates required field.

Notetaker Information:




Student Information:





Concern Regarding Student:

Please check all that apply.

Concern Regarding Assignment or Payroll:

Please check all that apply.

Additional Comments:

Disability Resource Center
360 Huntington Ave
20 Dodge Hall
Boston, MA 02115

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