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Cal Poly Student Request for Sign Language Interpreting or Live Transcription Services

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Name of Student *

Student's Email *

Student's Phone Number *

Best way to get a hold of student *

Phone

Is this a CO-CURRICULAR EVENT Request or QUARTERLY COURSE SCHEDULE Request? *

Use this form to request services for a one-time or infrequent activity/event. Requests need to be submitted at least 72 hours in advance (not including week-ends). All efforts will be made to fill late requests.

For CO-CURRICULAR EVENT Requests, Please Describe the Type of Event

Event service you are requesting

Sign Language Interpreter

Live Transcription

Event Date of Service

Month

Day

Year

Event Beginning Time

Hour

Minute

Event End Time

Hour

Minute

Event Description (as much detail as possible)

Event Location Where Service is to be Provided

Name of preferred Interpreter/Transcriber (although we cannot guarantee, we will try to address preferences)

Use this form to request services for academic courses.

Quarterly Course Requests need to be submitted upon registering for classes. Students receive priority registration in order to allow for the hiring and scheduling of interpreters/transcribers. Failure to submit quarterly requests promptly may result in loss of priority registration.

Leave this field blank

Cal Poly Student Request for Sign Language Interpreting or Live Transcription Services

Use this form to request services for a one-time or infrequent activity/event. Requests need to be submitted at least 72 hours in advance (not including week-ends). All efforts will be made to fill late requests.

Use this form to request services for academic courses.

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