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Request for Interpreting Services
Student ID #:
Name:

Phone:
Email:
Date Needed:
Time Needed:
Place/Room #:
Reason you need interpreter (brief description of activity, please):
Type of Service Needed:
Sign Language Interpreting (ASL) Oral Interpreting
Sign Language Transliterating (English) Notetaking
Deaf Blind Interpreting Other:
Please request services no less than five days prior to the event. We will try to accommodate last-minute requests, but cannot guarantee services without five days advance notice.
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