Request for Sign Language or Speech to Text Interpreting Services

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Contact Information

Department Name *

Contact Person *

Phone Number *

Email *

Assignment Information

Service you are requesting *

Sign Language Interpreter

Live Transcription

Date of Assignment *

Month

Day

Year

Start Time *

Hour

Minute

End Time *

Hour

Minute

(optional) Name(s) of deaf participant(s)

Assignment Description *

Dress code *

Location (Bldg/Room #) *

Directions

Parking information (e.g., sponsored parking) *

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

Authorization

Charge Back Number *

Authorization Approver *

(optional) Upload prep materials for interpreters (e.g., agenda, script, list of names and/or specialized vocabulary, etc). Prep materials can also be emailed to schan76@calpoly.edu

Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt ppt pptx odp.

I agree to the terms and conditions of the Sign Language Interpreting Agreement. This includes the possibility of covering additional costs for contract interpreting in the event that staff interpreting is not available and the cost of team interpreters if the assignment is greater than one hour in length. (Please type your full name) *

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Request for Sign Language or Speech to Text Interpreting Services

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