Report A Physical or Technology Barrier
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your preferred method of contact?
*
Phone
Email
What is your affiliation with Otero College
*
Student
Faculty/Staff
Visitor
Other
Is this a physical barrier or a technology barrier?
*
Physical Barrier
Technology Barrier
Building name or location:
Room number or floor number:
Describe the barrier:
*
0/200
Date when you experienced or observed the barrier:
-
Month
-
Day
Year
Date
Submit
Should be Empty: