Professor Notification Letter

* indicates required field.

Contact Information:

* Name:

NU/ID #:

Local Address:

City:

State: Zip:

* NEU Email:

* Phone:

V TTY Pager

What is the best way to reach you?

Phone Email Pager

Course Information:

Course 1:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 2:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 3:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 4:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 5:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 6:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Course 7:

Key #:

Course #:

Course Name:

Days (ie: M,W,Th):

Times (ie: 11:45am-12:50pm):

Professor:

Room/Building:

Please make sure the Professor's name is listed for each course.

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

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