Fillable STUDENT REQUEST FOR INTERPRETER/TRANSLITERATION (SOWELA Technical Community College)

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STUDENT REQUEST FOR INTERPRETER/TRANSLITERATION (SOWELA Technical Community College)

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NAME/PHONE
DATE
RESPONSE
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Office of Disability Services
3820 Sen. J. Bennett Johnston Ave.
Lake Charles, LA 70615
(337) 421-6969 Fax: (337) 491-2054
www.sowela.edu
STUDENT REQUEST FOR INTERPRETER/TRANSLITERATION
Date:_____________________
Student Name: ______________________________________ SSN: _____________________
What day is the interpreter/transliteration needed? _____________________________________
What is the event?_______________________________________________________________
Time event begins: ____________________ Time event scheduled to end: ________________
Location: ______________________________________________________________________
Do you have a preference for an interpreter? If so, please list your preferences in order.
FOR OFFICE USE ONLY
Date request received: _____________________________
INTERPRETER CONTACT:
SOWELA Technical Community College does not discriminate on the basis of race, color, national origin, gender, disability, or age in its programs and activities.
The following persons have been designated to handle inquiries regarding non-discrimination policies: ADA Officer: Christine Collins, 3850 Sen. J. Bennett
Johnston Ave., Lake Charles, LA 70615, (337) 421-6969 or (800) 256-0483,christine.collins@sowela.edu
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STUDENT REQUEST FOR INTERPRETERTRANSLITERATION (SOWELA Technical Community College)

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Completed 17 September 2020

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