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, 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
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
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 *
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.
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