Interpreter Request Form
Request Type
*
Initial Request
Modify Request
Cancellation of Request
Requestor Information
Requestor Name
*
First
M.I.
Last
T Number
*
Phone
*
Current email
*
Type of Event:
Lecture
Meeting
Event Date
*
Date Format: MM slash DD slash YYYY
Event Time
*
:
HH
MM
AM
PM
Address
*
Building
Room Number
Additional information or comments
Academic Semister
*
Spring
Summer I
Summer II
Fall
List Courses
*
Click the (+) sign to add rows for more courses up to 7
Course
Day/Time (Enter MWF or TR)
Professor's Name
Course Location
Please upload your class schedule
*
Accepted file types: pdf, xls, xlsx, docx
Accepted file types: pdf, xls, xlsx, docx.
Important Notices
Process:
Requestor must be a registered student with the Student Accessibility Services Office (SASO). Once your request is received please allow 72 hours to 1 week for the SASO to evaluate and coordinate services. Interpreters are scheduled based on availability. Confirmation of approval/denial of the service request will be sent via email or phone.
The requestor is mandated to report to the SASO bi-weekly to report updated academic development and monitor service delivery.
Untimely Request:
There are no guarantees that interpreting services will be provided when request are submitted less than 72 hours of the service date.
Changes/Cancellations:
The requestor is responsible for notifying the SASO immediately any schedule, professor or room changes, class cancellations, absences or concerns. Interpreting services will not be provided for class cancellations, holidays, or known absences.
Exams:
The requestor is responsible for notifying the SASO of all exam dates at least 3 business days prior to the exam scheduled date. Interpreting services will be provided for a maximum of 30 minutes for exams to communicate professor instructions/explanations and student questions.
Special Request:
Special request for interpreters are welcome; however, the availability of the interpreter is not guaranteed. Interpreters are scheduled on a first come basis. Failing to notify the SASO of any changes/cancellations may result in the following:
a) A delay/inability to provide interpreting services.
b) A registration hold on the requestor’s TSU student account.
c) Suspension of interpreting services for the requestor.
Terms & Conditions
Complying with service rules will allow services to be coordinated in a timely manner. The signature below acknowledges that I have read and agreed to the terms of this agreement.
Resquestor Name
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
Reviewed by:
Signature
Date
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.