Student Request for
ASL Sign Language Interpreter
Must give at least
two (2) weeks' notice
to request
interpreting service.
Services provided based on interpreter availability.
To cancel, must give at least 24-hour notice.
Name
*
First Name
Last Name
900#
*
Type your Student ID number
VCCCD Email address ONLY
*
example@example.com
Is your request for a class or meeting on campus?
*
Class
Meeting on campus
Back
Next
Class 1 - ex: 71012 ENG R101 (only enter ONE class)
*
CRN and Class: Can be found in Canvas or on Schedule/Bill
1 - Do you want to add another class?
Yes
No
Class 2 - ex: 71012 ENG R101 (only enter ONE class)
*
CRN and Class: Can be found in Canvas or on Schedule/Bill
2 - Do you want to add another class?
Yes
No
Class 3 - ex: 71012 ENG R101 (only enter ONE class)
*
CRN and Class: Can be found in Canvas or on Schedule/Bill
3 - Do you want to add another class?
Yes
No
Class 4 - ex: 71012 ENG R101 (only enter ONE class)
*
CRN and Class: Can be found in Canvas or on Schedule/Bill
Please provide any additional information about your classes or request:
Class format; do you have a preference as to who interprets, etc?
Is the meeting in person or over zoom?
*
Please Select
Zoom Appointment
In-Person
Please choose the date of the meeting:
*
/
Month
/
Day
Year
Date
What time is your appointment?
*
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Hour
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Minutes
AM
PM
AM/PM Option
Please give the name of the person you are meeting with, if you can.
Type the name of the Teacher, Financial Aid Specialist, Therapist, etc. you have an appointment with
Please choose a description below that best fits your appointment:
*
Health Center Appointment
Financial Aid Appointment
Club Meeting
Meeting with Faculty (Teacher)
Meeting with group for class
Attending a Presentation on Campus
Other
Other
Is request for more than one day? If so, how many?
*
For example, workshop or seminar
Please give as much information as possible about your meeting:
Please let us know details like the NATURE of the appointment (do you need someone to interpret for personal counseling of for a financial aid appointment? Do you have a preference as to who interprets?)
Submit
Should be Empty: