Classroom Reassignment Request Form

Contact Registrar's Office

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

Office Hours:
Monday - Friday: 8:30 a.m. - 5:00 p.m.

Location
BLC 213
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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