DSPS Tram Request

Students must have a verified mobility disability to participate in DSPS Tram services. Your disability must be indicated on your Academic Accommodation Plan (AAP). This is completed by bringing in documented proof of your mobility disability and meeting with a DSPS Counselor to have this disabiity included on your most recent AAP.

Date*

Date

Name*

First NameLast Name

Student W#*

Cell Phone Number*

Area CodePhone Number

For what semester are you requesting services?

SummerSpringFall

Use of the DSPS Tram requires a verifeid mobility disability on file with the DSPS office and Tram services checked on your most current Academic Accommodation Plan (AAP). If you are not receiving DSPS services, do not have an AAP, and have not provided verification of a mobility related disability please contact the DSPS office at 209.588.5130 before completing this form.

Tram services are available in Fall and Spring semesters from 7:30 am to 4:30 pm Monday through Thursday only.

Please complete the table below for all requested pick-up and drop off times.

Requested Pick-Up and Drop-Off Schedule

	M	T	W	TH	F	Pick-Up Time	Pick-Up Spot	Destination
1
2
3
4
5
6
7
8
9
10

Please note: the Tram is a busy service and will usually arrive within 5-10 minutes of your requested pick-up time. Please allow for this when choosing your pick-up time. If the Tram has not arrived within 10 minutes of your requested pick-up time, please call the Tram desk at 209.588.5131 or DSPS Front Desk at 209.588.5130 for assistance.