Request An Interpreter or Transcriber

I understand that it is my responsibility to:

Notify Accessibility Services of class or schedule changes.
Notify Accessibility Services 24 hours in advance if I am unable to attend the event or will be absent from class.
Notify Accessibility Services if my assigned interpreter is unable to meet my language needs.
Request services at least 3 business days in advance. Less notice may mean services are not available.

Sending this form indicates that you understand the above responsibilities.

Interpreter or Transcriber Request Form

This form is used to request or cancel an interpreter or transcriber

"*" indicates required fields

Student's Full Name:

Prefix First Last Suffix

Student's Phone:*

Please include area code- Ex. 828-438-5555

Student's Email Address:*

I am requesting an (a):

Interpreter

Transcriber

Both

I am cancelling an (a):

Interpreter

Transcriber

Both

Title of Event or Class:*

Building and Room number:*

(Ex. Carr Hall 240)

Date of Event or Class:*

Beginning Time of Event or Class:*

Ending Time of Event or Class:*