SAS Event Interpreter Request

ASL Interpreter Request Form - Student Accommodation Services

(For Requesting American Sign Language (ASL) Interpreters for NPC Events.)

Event Information

Event Name:

Event Date:

Event Start Time:

Event End Time:

Event Location:

Venue Name:

Address:

City/State/Zip:

Type of Event:

Conference

Workshop

Meeting

Performance

Training

Competition

Other…

Estimated Attendance:

Requestor Information

Requestor Name:

Organization/Department:

Email Address:

Phone Number:

Accessibility and Logistics

Reserved Seating Available for Deaf/Hard of Hearing Attendees?

Yes

No

Audio/Visual Support Available?

Microphones

Projector

Stage Lighting

Livestream Feed

Parking Instructions / Venue Access Notes:

Additional Information / Billing Contact

Billing Contact Name:

Department:

Purchase Order Number (if required):

Agreement

I understand that submitting this form does not guarantee interpreter availability until confirmed by NPC’s Student Accommodation Services office.

I agree to provide event materials at least 14 business days before the event when possible.

Signature:

Sign above

Today's Date: