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Interpreter Request

Interpreter Request



STUDENT AGREEMENT FORM FOR USING INTERPRETATION SERVICES

Policies and procedures for students scheduling and receiving interpreting / captioning service:
  • Please notify the Accommodations Instructional Technology Coordinator (A.I.T Coordinator) 2 full business days in advance, if you will not be attending a class whenever possible.
  • If you are absent 3 times without notification (No Show), interpreting / captioning services will be cancelled until you talk to our A.I.T Coordinator to reinstate.
  • Please notify A.I.T. Coordinator whenever you are going to be late for a class so we can contact your service provider.
  • If you are 20 minutes late the service provider is free to leave, unless you notify us ahead of time.
  • If the class has started and there is no service provider, wait 20 minutes before contacting the A.I.T. Coordinator.
  • You must notify the A.I.T. Coordinator of any changes to your schedule. If you stop attending class or drop a course and do not notify us, it may result in suspension of services until you talk with the A.I.T. Coordinator to confirm your schedule and needs.
  • If you are having difficulty with a service provider, speak to the person to try and resolve the difficulty. If the problems continue contact the A.I.T. Coordinator for assistance.
  • A request form must be submitted for each time that I need to have a service provider for special assignments. (Other than my service provider scheduled for my regular classes.)
  • Any college course related activity that you will need a service provider, you must submit a request at least 5 business days in advance.

Please feel free to contact me if you have any questions or concerns regarding these policies.
Thank You,

Mayra Palmerin-Aguilera
Accommodations Instructional Technology Coordinator
Building 5400-Office 5418
E-mail: Mayradrc@fhda.edu
Phone:650-949-7039

 
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6. One-Time Assignment? *This question is required.
7. Purpose of Request *This question is required.
8. Service Information *This question is required.
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9. Additional Class #2? *This question is required.
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10.  Additional Class #3? *This question is required.
11. Class #3 *This question is required.
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11. Additional Class #4 *This question is required.
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By submitting this form, I acknowledge that I have read and understood the guidelines. I understand any changes to the request must be notified to the DRC office as indicated within the guidelines. I understand that the lack of information provided in this form may result no action until all information is filled out.