Office of Accessibility Resources
Mohawk Valley Community College
Payne Hall, Room 104H
Phone: 315-792-5644
Fax: 315-731-5868
Email: disabilityoffice@mvcc.edu
ASL Interpreter Request Form *
Information:
Staff/Event/Student: M#
Address/Room number:
Phone Number:
E-Mail:
Assignment Information
MVCC Contact: Phone:
Contact email:
Location of Assignment:
Date of Assignment:
Start Time: End Time:
Type of Assignment:
*Requests must be made a minimum of 2 days ahead of the assignment. If
this is for a college event, a minimum of 2 weeks in advance is requested.
(Describe)
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