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:

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:

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

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Last modified March 27 2018 10:08 AM

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