DSS - Interpreter Request Form | Disability Support Services

Requester:

Department Organization:

Email Address:

Phone Number:

Event/Course Title:

Nature of Event:

Lecture

Panel

Meeting

Class

Other

Not Applicable

Requested Day/Date(s):

Start Time:

End Time:

Building & Room Number:

Address: (other than AU Campus):

On-site Contact Person:

On-site Phone Number:

Estimated Number of Participants:

Estimated Number of Primary Speakers:

Name of Speaker(s):

Name of Deaf Person (if known):

Preferred Communication Mode:

ASL

PSE

SEE

Oral

Other

Not Applicable

Additional Information:

Interpreter Request Statement The procedure for Interpreter Requests will be the same each semester. If you have questions and would like to speak to someone regarding the Accommodation Letter Request application, please call the Disability Support Services at 202-885-3315 or email at dss@american.edu.

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Interpreter Request Form