SAO Interpreter Request Form First Name *Last Name *StudentEmployeeGuest/VisitorOtherIf other, please indicate:What Date Will You Need the Interpreter (MM/DD/YYYY)? *Select the Starting Time for the Interpreter (i.e. 8:00 a.m.): *12010203040506070809101100153045AMPMSelect the Ending Time for the Interpreter: *12010203040506070809101100153045AMPMLocation: *Building: *Room: *Request Type *Class RequirementExtracurricular ActivityStudent/Advisor MeetingCall/TeleconferenceExam/QuizPersonnel MeetingTutoringVideo/Recorded PresentationPerformance/PlayOther Meeting or EventIf Other Meeting or Event, Please Specify:Event Contact Person's First Name *Event Contact Person's Last Name *Event Contact Person's Phone Number *Event Contact Person’s Email Address *Please specify how you wish to communicate with the person (e.g., American Sign Language, Transliterating, Oral):Additional Information or Details:All requests must be returned to the Student Access Office (SAO) as far in advance as possible, but at least five (5) business days prior to an event (requests submitted after that time will be filled as interpreters are available). Changes and cancellations of requests should be made at least two (2) business days prior to an event. Failure to notify the SAO of a change or cancellation may result in a delay or inability to provide interpreting services.I acknowledge that before requesting accommodations I have read, understand, and agreed to comply with the policies pertaining to interpreter services of Avila University. 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