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Disability Access

Online Request / Cancellation Form for
 Interpreter and Transcriber
 "No Show" Policy

Student's Full Name:

Student's Phone:
(Ex. 828-438-5555)

Student's Email Address:

I am requesting an (a):

 Interpreter  Transcriber

I am cancelling an (a):

 Interpreter  Transcriber

Title of Event or Class:

Building and Room number: 
(Ex. Carr Hall 244)

Date of Event or Class:
(Ex. Oct. 3, 2008 or 10/3/2008)

Beginning Time of Event or Class:
(Ex. 8:00 A.M. or 7:00 PM)

Ending Time of Event or Class:
(Ex. 8:00 A.M. or 7:00 PM)

I understand that it is my responsibility to:

  • Notify the Interpreter Coordinator of class or schedule changes.

  • Notify the Interpreter Coordinator 24 hours in advance if I am unable to attend the event or will be absent from class.

  • Notify the Interpreter Coordinator if my assigned interpreter is unable to meet my language needs.

  • Request services at least 3 business days in advance.  Less notice may mean services are not available.

Sending this form indicates that you understand the above responsibilities.

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