BLP Foreign Language Interpreter Request Form
Click the "Submit" button at the end of this form to ensure your request has been saved.
You will receive an e-mail confirmation when an interpreter has been assigned.

NOTE: If you have any questions or need help completing this form, please call Jody McBride at 541-355-1056.
If you need to RESCHEDULE or CANCEL a previously requested appointment, please send an e-mail to Jody McBride at jody.mcbride@bend.k12.or.us, ASAP. For EMERGENCIES on WEDNESDAYS, please contact Joanne Kienzle at 541-355-1022.

BLPS Contact Person *
Name of School District Person Interpreter will be meeting with.
Your answer
CONTACT INFORMATION
Please fill in the following information for the person that needs to receive communications concerning this request.
E-Mail *
E-mail address confirmation/questions should be sent to.
Your answer
Phone Number *
Number where BLPS Contact can be reached.
Your answer
INTERPRETER INFORMATION
Please fill in as much information as you can to ensure the interpreter is fully prepared for the meeting/event.
Location *
School/Site, including room number, where interpreter is needed. (Ex: Bear Creek Rm1A)
Your answer
Meeting/Event Type *
Required
Meeting Date *
Please use this format: 06/05/16
Your answer
Start Time *
Please use this format: 8:00AM, 3:00PM
Your answer
Is this an URGENT request? Is the Interpreter Needed Within the Hour? *
If this is an urgent request, please place a follow up call to Jody at x1056. On Wednesdays, please call Joanne at x1022
End Time
Please use this format: 8:00AM, 3:00PM
Your answer
Preferred Interpreter
Enter the name of your preferred ESD Interpreter. Availabilty is not guaranteed.
Your answer
Student Information *
Student Name, Grade and other relevant information.
Your answer
Parent/Guardian Information *
Parent/Guardian Name(s) and Phone Numbers, please list more than one cantact number
Your answer
Set Up (Schedule) - Confirm Meeting
Does an interpreter need to call ahead to set up the meeting (Schedule) date/time with parents and/or call the day before to Confirm the meeting/event?
Other Information
Enter any other relevant information concerning this meeting/event.
Your answer
Thank You.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service