DHH Interpreter Request

Student Accessibility Services
9388 Lightwave Ave, San Diego, CA 92123
858.521.3968 (phone) ● 858.521.3996 (fax) ● DHHSAS@nu.edu
Interpreter Request Form

Please fill this form out to the best of your ability. Some fields are required before the form can be processed. If you have any questions or need assistance please contact us at dhhsas@nu.edu
Full Name*

First NameLast Name
Student ID*
E-mail*
Phone/SMS Number*

Area CodePhone Number
Subject*
Catalog #*
Class#*
Event Date*

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Event Date

MonthDayYear
Date
Start Time (Pacific)*

:HourMinutesAM/PM Option
End Time (Pacific)*

:HourMinutesAM/PM Option
Presentation Method*

In PersonOnline
Instructor Presentation Mode

ZoomOther
Address of event

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Room Number
Instructor Name*

First NameLast Name
Instructor E-mail
Zoom/ Guest Link:
If Online
Additional Information (requests, extra class information, parking instructions, extra location info):
* By clicking on the submit form button bellow, I verify that the above information is true and correct to the best of my knowledge. I also acknowledge that have read and understand the Interpreter Terms and Service Agreement and am hereby agreeing to abide by these terms.
Interpreter Terms and Service Agreement

NOTE: This form can only be completed by students registered (i.e., approved for services) with National University’s Student Accessibility Services. Students who are not yet registered with the office for disability-related accommodations and services should visit our website (www.nu.edu/sas) to learn about the process.

Please complete this form to request an interpreter event or onsite class. Events can include teacher/student meetings, group meetings, organizational meetings, or on-campus events. A minimum lead time of five business days is required for single event/date and one month minimum to arrange interpreting for multiple onsite classes. The University will do its best to fill interpreting requests; however, it may be impossible to coordinate interpreters requests made with less notice than outlined above.

Depending on the length of the event, we may require more than one interpreter on site. You are responsible for providing detailed location information to insure the interpreter can assist you in a timely and effective manner.

Student Accessibility Services is open Monday through Friday, 9:00 AM to Friday 5:00 PM; requests made outside these hours may take additional time to fill. Please contact Student Accessibility Services 48 hours in advance of the event/class date for confirmation that interpreting/captioning has been secured.
Student Accessibility Services
9388 Lightwave Ave, San Diego, CA 92123
858.521.3968 (phone) ● 858.521.3996 (fax) ● DHHSAS@nu.edu
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