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INTERPRETER/C-PRINT REQUEST FORM

Please note that the purpose of this form is for individuals who require interpreting accommodations in order to attend an event. This form is not intended for student groups or organizations that are planning and/or organizing events. This form is ONLY to request interpreters/C-Print for special events or events held outside of the classroom .

Special events requests should be submitted a minimum of (5) business days in advance. 

Please fill in all blanks regarding contact information & event information.

STUDENT NAME: 
STUDENT ID #:  CONTACT PHONE: 
EMAIL ADDRESS: 

NEED:  SIGN LANGUAGE INTERPRETER(S)    C-PRINT

EVENT INFORMATION
EVENT NAME (e.g. "JOB FAIR"): 
EVENT DATE (e.g. "January 3, 2014): 
START TIME (e.g. 12:15 AM): 
END TIME (e.g. 2:15 PM): 
LOCATION: (e.g. BB225): 

REPEAT?  YES     NO 
IF YES, WHEN OR HOW OFTEN? (e.g. "January 5, 2014" OR"Every first Monday")

ADDITIONAL EVENT INFORMATION: (optional) 

Contact Nastassia Sanabria (nsanabria@kennesaw.edu) with any problems or concerns.

 

 
 

     
   

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