DJUSD Interpreter Request Form 2024-25
Please submit your request at least 5 business days before the event and send the following information, the IEP old/new goals,  and any documents that will shared with the parent at the meeting.
Please contact Ximena Diez-Jackson at xjackson@djusd.net , text/call (530) 205-3163, or Maria Leyva at mleyva@djusd.net , text/call  (530) 207-0420, for any questions.
Email *
Type of Interpretation request *
Name of event or reason of meeting:

 *
Language: *
Preferred Mode of Interpretation *
Date: *
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DD
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YYYY
Time: *
Time
:
Expected length of meeting: *
Client(name of parent for whom interpreting is being done):

 *
Client's phone contact(in case connection is lost during remote meeting) *
Meeting contact person: *
Your or contact person's email: *
Your contact cell phone: *
Meeting format *
Site *
Meeting location:School name and address if in person or Zoom Link with meeting ID and Passcode, if remote.

 *
Other details, comments or information that will help make the meeting go well:
A copy of your responses will be emailed to .
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