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
Status: Filled Cancelled
Request Completed By:
660817
or Association funds leave the chartfield balnk, sign and date this form, attach a Purchase Order and return.
If you pay using Foundation
Interpreter(s) Assigned: _____________________________________
Rate Per Hour: $45-$70.
