Your InformationYou can submit this form anonymously if you wish. However, so that we can best assist you, please provide your contact information. This will allow the Accessibility Coordinator to contact you during the process of resolving your complaint. Full Name HANK ID Email Course Number If this complaint is in regard to a specific course or course materials please provide the course and section number. Description of Accessibility Problem * Provide as much information about the problem/s as possible. Include dates, assignment names, and as much detail as possible. Did you speak to your instructor? * Yes, I informed my instructor about this accessibility problem. I have not yet mentioned this problem to the course instructor. If yes, how did you contact your instructor? * I explained the problem over email. I explained the problem in person or over the phone. I explained the problem on Moodle, or the online course discussion board. I contacted the instructor another way. How did you contact your instructor? *
