University of Vermont

ASL Interpreter Scheduling Request

ASL Interpreter Scheduling Request

Requesting for:

Requestor Information:

Video Phone:

Deaf/Hard of Hearing Person(s) Attending (if different from requestor):

Video Phone:

Event Information:

Event/Meeting Title:

Event Type:

Event Format:

Meeting Format: Remote On-campus

Event/Meeting Link (if remote):

Month: Day: Year:

Start Time: End Time:

Repeating Event? No Yes

If yes, frequency: Daily Weekly Semimonthly Monthly
If yes, please specify last meeting date: Pick a date

Event Description:

Will the event be broadcast or recorded? No Yes

If yes, is it expected the broadcast/recording will include ASL interpreters? No Yes

If ASL interpreters are requested to stay for inclusion in the video broadcast/recording, interpreters must be centrally positioned on stage in view of the camera and fully visible for the duration of the broadcast/recording.

Please note: For general requests with an unspecified Deaf consumer, ASL Interpreters will use their professional judgment and may leave after the first 15 minutes of an assignment start time if there are no Deaf attendees present and there is no expectation that they will be included in any broadcast/recording.

Event Location:

Room Number:
Number Attending:

Facilitation Required:

ASL InterpreterEnglish TransliteratorOral Interpreter

If no interpreter is available for your request, please indicate if you would consider a CART or Typewell transcriber instead of an interpreter:


Other Information / Comments / Special Requests / Details

*All requests must be received by Interpreter Services at least two weeks prior to an event (requests submitted after that time will be filled as interpreters are available.) Changes and cancellations of requests should be made at least two business days prior to an event. Failure to notify interpreter services of a change or cancelation may result in a delay or inability to provide interpreting services.

I agree to the above policy

Click to send your request.
Click to clear the form


Last modified July 23 2020 03:18 PM

Accessibility | Privacy/Terms of Use | Contact UVM © 2020 The University of Vermont - Burlington, VT 05405 - (802) 656-3131