Interpreter Request Form

Interpreter Request Form
Is this for:

yourself?another person?an MCC event open to the public or with attendees needing services?Other
Is this:

a first time request?a change of information?a cancellation?Other
If this is a cancellation or change, please give reason:
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Video phone
Name of event, campus service, or campus office for which services are requested:
Location
Date(s) (mm/dd/yyyy):
Starting Time (specify a.m. or p.m.):
Ending Time (specify a.m. or p.m.):
Type of Event:
Information for Deaf or Hard of Hearing Participant:
Name of deaf/hard of hearing person needing services (if known):
Contact information for person needing services (if known)
Cancellations and changes:
- To cancel or change this request, please resubmit this form.
- Notification of cancellations and changes for events should be submitted three business days in advance or as soon as canellation/change is made.
Advance notice needed for Requests:
- Requests for events should be made at least one week in advance to allow adequate time to schedule interpreters, preferably as soon as event is scheduled.
- Requests for campus services/offices should be made when appointment is set up. Every effort will be made to accomodate walk-ins. However, rescheduling may be necessary depending on interpreter availability.
For immediate assistance or questions, please contact:

Charlotte Powell, Interpreting Specialtist

cpowell@mclennan.edu

254-299-8743 (voice)

254-523-4107 (VP)
Should be Empty:

Interpreter Request Form

Information for Deaf or Hard of Hearing Participant: