Interpreting Request Form

NOTICE: Business office hours for Interpreting Services are M-F, 8:00am to 4:30pm. All interpreting requests must be submitted no later than 48 business hours prior to the event. All requests are processed during business hours unless there is a University closure.

Type of request: * - Select -EKU Deaf/HH StudentsFaculty/Staff who are Deaf/HHCommunity/Visitors attending events who are Deaf/HH

Modality: *

On site

Virtual

Requester's name: *

Requester's email: *

Requester's phone number: *

Event description - one event per form - if event occurs multiple times, please note the times in the "Special Instructions" field below.:

Event date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year202120222023

Event start time: *

hour123456789101112

:

minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

am

pm

Event end time: *

hour123456789101112

:

minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

am

pm

Event address (location): *

Contact information (for emergencies, cancellations, etc.):

List Deaf attendees if known (remove "Public Event" if listing attendees): Public Event

Special instructions (i.e. multiple dates, unique settings, specialized interpreting needs, etc.):

Preparatory materials :

Please upload any preparatory materials you feel will aide in interpreting this event (i.e. music, speeches, etc.). Usable formats: gif, jpg, png, pdf, doc, rtf, ppt, avi, mov, mp3, wav.

Leave this field blank:

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