Fillable Request For Interpreter

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Request For Interpreter

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Country of origin: US
File type: PDF

U.S.A. forms for California State University, Fresno

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Department of Communicative Disorders and Deaf Studies
California State University, Fresno
Phone # 559-278-2423, Fax # 278-5187
Campus Request for Sign Language Interpreter
Requested By: Date/Time
Dept. Name:
Contact Name: Phone:
Email:
Event Name:
Location:
Details re: Event:
Day of Event: Mon
☐
Tues
☐
Wed
☐
Thur
☐
Fri
☐
Sat
☐
Sun
☐
Date of Event: Time In: Time Out:
Details re: User of Services:
☐
Staff
☐
Faculty
☐
Group
☐
Open
Instructions: Submit to CDDS Office within one week of event by fax,
drop off at PHS 252 or e-mail to the CDDS office at kabarajas@csufresno.edu
.
It is the responsibility of the sponsoring organization of any event, program, or activity, to arrange and pay
for requested interpreting services. Please provide your chartfield information.
For further information please refer to the Accessibility Website:
Accessible Event Planning Guide: http://www.fresnostate.edu/accessibility/event/guide.html
CDDS Staff Use Only
Zimbra Input:
Chair Emailed: Interpreter(s) Assigned
Status: Filled Cancelled Request Completed By:
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Request For Interpreter

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Completed 22 May 2020

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