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ASLIE Department
521 Lancaster Ave
Wallace 216
Richmond, KY 40475
Phone: (859)622-4966 VP:(859)353-0068
Fax: (859)622-5919
aslie@eku.edu

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: *

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: *

Event start time: *

:

am

pm

Event end time: *

:

am

pm

Event address (location): *

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

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

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:

CAPTCHA

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Math question: * 3 + 3 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.