Tungor ren Aninisin Chiakku Esapw Kamo

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

(Request for Assistance with Free Interpretation Services - Chuukese)

Email *

A tongeni wor omw pwuung ngeni emon chon awewe fos/chiaku esapw kame ngonuk, tiwenon chok ren ekkewe prokram ika neni ikewe ia sinap non fosun Merika a auchea omw kopwe fiti.

(You may have the right to an interpreter at no cost to you, except for programs or areas where English proficiency is required for participation.)

Ien ewe campus uwa mochen churi/no ngeni *

(The campus I am seeking support for is)

University of Hawai‘i at Mānoa

University of Hawai‘i at Hilo

University of Hawai‘i at West O‘ahu

Hawai‘i Community College

Honolulu Community College

Kapi‘olani Community College

Kaua‘i Community College

Leeward Community College

University of Hawai‘i Maui College

Windward Community College

Other:

Ien ennetin itei non Kapasen Merika (English) *

(My legal full name in English is)

Uwa aea foosun *

(The language I speak is)

Ngang mei nit eman chon chiakku epwe anisiei ren *

(I would like to request a free interpreter in helping me with)

Ien ai we nampan fon

(My contact phone number is)

Ien ai we email address *

(My email address is)

Kinisou chapwur ren omw aninis!

(Thank you very much for your help!)

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of University of Hawaii.

Does this form look suspicious? Report

Forms