Interpreters Request Form

AMERICAN SIGN LANGUAGE INTERPRETER

REQUEST FORM

Use this form to request an ASL interpreter for the Deaf. The requesting Catholic parish, school or institution is responsible for payment. The cost of interpreting ranges from $45 - $60 an hour. There is often a two hour minimum. Events lasting over two hours require two interpreters. Needy parishes may request funds from the Deaf Apostolate to assist in paying for interpreters.

Requestor's Name

First NameLast Name

Requestor's Phone Number

Area CodePhone Number

Requestor's Email

example@example.com

Name of Church/School

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Event Description

Date

MonthDayYear

Start Time

:HourMinutesAM/PM Option

End Time

:HourMinutesAM/PM Option

Location of Event

Event Contact Person

E-mail

Phone Number

Area CodePhone Number

List Deaf Individuals

Please Note: A week before, or in case of a funeral a day before the Mass or event, the interpreter will need to have all the materials such as agenda, readings, music and whatever text are available. These can be emailed or faxed.

Trace the drawing before submitting*

An invoice will be sent to the Parish/School or Institution.

DEAF APOSTOLATE
Archdiocese of Philadelphia
222 North 17th Street
Philadelphia, PA 19103

215-587-3913 (Voice Phone) 267-507-1215 (Video Phone for the Deaf)

215-587-3561 (Fax)

sr.kschipani@archphila.org (email)