Interpreter Request For Events

* indicates required field.

Payment Information: * Budget number: / or CIF Approval Yes No

Contact Information:

Name:

* NEU Email:

Phone:

V TTY Pager

University Dept:

Student Group:

Onsite Contact:
(if different from above)

Onsite Phone:
(if different from above)

Communication Preferences:

Please check all that apply.

American Sign Language Signed English Oral Deafblind Unsure

Event Information:

Date of Event (mm/dd/yyyy):

/ /

Start time:

Finish time:

Location:

Who is giving the presentation?

Type of Event (check all that apply):

Workshop / Lecture

Explain:

Group Meeting

Explain:

One on One meeting / interactive

Explain:

Other

Explain:

Materials: Please indicate any materials you will be able to provide us prior to the event.

A script or information packet

A flyer or advertisement

Other

Explain:

Please attach materials (if you have multiple files please zip them up):

Note: If you cannot attach your materials, please send them to the Disability Resource Center in 20 Dodge Hall via interoffice mail.

Interpreter Information:

Preferred Interpreters:

Non-Preferred Interpreters:

CANCELLATION POLICY
48 HOURS NOTICE: Interpreters will be paid in full for assignments that are cancelled with less than 48 business hours notice. This includes cancellations due to inclement weather.

Please be sure to advertise that your event will be interpreted. If you have any questions contact the Disability Resource Center at x2675 (x2730 TTY).

~Interpreters are provided to ensure communication for ALL parties involved~

Disability Resource Center
360 Huntington Ave
20 Dodge Hall
Boston, MA 02115

Phone:617-373-2675
TTY: 617-373-2730
Fax: 617-373-7800