Sign Language Interpreter Request Form

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Evansville Vanderburgh School Corporation is able to provide Sign Language Interpreting Service for students and/or parents (guardians) for such activities as report card conferences, IEP meetings and EVSC-sponsored extra-curricular school activities and functions.

This Request Form is not to be submitted until you have a specific date, place and time for the event**. Absent an emergency situation, all written requests for Sign Language Interpreting Service should be made at least two (2) weeks prior to the meeting/event in order to assure the availability of a qualified sign interpreter.

Please report all schedule changes or cancellations immediately to Terri Rohner. terri.rohner@evsck12.com

Email *

Name of person requesting interpreter *

Residential Address *

Phone *

Name of Deaf/Hard of Hearing person *

DHH person's relationship to School *

Student

Parent / Guardian

Type of meeting *

Date of meeting *

YYYY

Time of meeting [Beginning] *

Time

Time of meeting [End] *

Time

Location of meeting *

Room Number or Location in the Building
*

Submit

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