Contact Information
Your Name:
*
First Name
Last Name
Your Email:
*
example@mail.tmcc.edu
Your Phone Number:
*
Please enter a valid phone number.
Format: 000-000-0000.
Specific Accessibility Issue
My accessibility issue is with regard to the following:
Accessibility Issue Details
*
Classroom/Course Software
Classroom/Course Hardware
Instructional Materials
Instructional Programs
Services
Activities
Facilities (Buildings, Classrooms, Sidewalks, etc.)
Online Academic Content (MyTMCC, Canvas, MyMathLab,etc.)
Other
What is the webpage you believe to be inaccessible?
*
For example, https://www.example.com
Issue Impact Details:
*
Please provide as much detail as possible about this accessibility issue and how it affects your participation in, or successful completion of, your course, class, or education at TMCC.
Where is the location where you were affected by inaccessibility?
Please be specific, e.g., Campus, Building, Room, etc.
What is the date you were affected by inaccessibility?
-
-
What is the time you were affected by inaccessibility?
Hour Minutes
AM
PM
AM/PM Option
Constructive Suggestions or Solutions:
If possible, provide any constructive suggestions or solutions to the accessibility issue you've described.
Instructional Issue
Was your participation and/or successful completion of a TMCC class affected by a lack of access?
*
Yes
No
Specify Class Name and Information:
*
What is the type of instructional material you believe to be inaccessible?
Textbook
Course curriculum
Computer program
Academic/instructional software
Academic/instructional hardware
Other
What is the name of the instructional material you believe to be inaccessible?
Do all other TMCC students have access to what you are raising concerns about?
*
Yes
No
Have you shared your concerns with your instructor, advisor, or another TMCC faculty or staff member?
*
Yes
No
What is the name and/or department of the person(s) you communicated with?
*
Are there any other barriers that are hindering your progress from being successful in class?
*
Yes
No
Specify Other Barriers:
*
TMCC Facility Issue
What is your TMCC facility-related issue?
Parking (too few designated spaces, etc.)
Route of travel from parking to entrance
Entry doors (too heavy/automatic door button inoperative)
Door handles (not easy to open/lever-type)
Route of travel inside building
Route of travel in between classrooms
Inaccessible restroom(s)
Other
Permissions
I give permission to TMCC to use my name in the investigation of this complaint.
*
Yes
No
I am interested in working with TMCC staff to resolve the issue.
*
Yes
No
Please verify that you are human:
*
Sender Name:
Submit Now
Should be Empty: