Classroom Reassignment Request Form

Contact Registrar's Office

registrar@rider.edu
609-896-5065
Fax: 609-895-5447

Summer Office Hours
(May 18 - August 7)
Monday - Thursday: 8:30 a.m. - 4:30 p.m.
(Closed Fridays)

Location
Bart Luedeke Center, First Floor
(Inside the One Stop Services Center)
2083 Lawrenceville Rd.
Lawrenceville, NJ 08648

Date of Request

Instructor Requesting Room Change

Instructor's Email Address

Instructor's College

Term

Course Number

Course Section

Course Title

Current Classroom Assignment

Reason for Request

If pedagogical, please explain the reason for room change

Please describe the classroom requirements/characteristics required to support this pedagogy

(e.g. type of seating, computer operating system, etc.)

If disability, please describe the nature of the accommodation requested

The University reserves the right to request additional information regarding the medical necessity of the requested accommodation.

Requested by

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