MONROE-WOODBURY CENTRAL SCHOOL DISTRICT
Policy #7211-E.1
INTERPRETERS FOR HEARING-IMPAIRED PARENTS
Accommodation Request
Parents in need of interpreter services are asked to complete this form.
TO:
S
uperintendent of Schools
Monroe-Woodbury Central School District
FROM: _______________________________________________________
Name
________________________________________________________________________
Ad
dress
Please identify the type of interpreter needed:
_____
Interpreter for the Hearing Impaired ___ American Sign ___ English
In the event an interpreter is not available, please identify the type of alternative service preferred:
___ Written Communication
___ Transcripts
___ Decoder
___ Telecommunication Device for the Deaf (TDD)
___ Other (please specify)