PSTCC > SSWD > Interpreter Services > Interpreter Request

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SSWD Interpreter Request Form

Interpreter request forms and appropriate documentation must be submitted to the SSWD office a minimum of 2 weeks before services are needed. Students are required to notify SSWD immediately if there are schedule changes. Cancellations must be received 24 hours in advance. After two no-shows or last-minute cancellations students are required to meet with the lead interpreter to request that interpreter services be restored. Please consult your SSWD Student Responsibilities Form for further explanation. If you have questions or problems completing this form, please email Michele DeFelice <mfdefelice@pstcc.edu> or call 865-539-7249.

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Student Name
Student ID
Phone/TTY
Email

Purpose for Interpreter (check all that apply)

Admissions/Advising Counseling Orientation Financial Aid Testing Instructor meeting
TRiO Study Group Workshop Field Trip Class Other (please specify reason)

Date requested (e.g. mm/dd/yy)
Beginning time (e.g. 3:00 pm)
Ending time (e.g. 4:00 pm)
Exact location (e.g. classroom, area venue, etc.)