ASL Interpreter Request Form

To request sign language interpreting for Mt. SAC events or an employee accommodation, please fill out the request form below. Please note: Human Resources requires at least seven business days in advance to request in-person interpreters, and five business days in advance for virtual interpreters.


Cancellations with less than three business days notice will be charged to the requesting department and/or division. The amount charged is based on agency fees for last minute cancellations.


The Americans with Disabilities Act (ADA) and other disability laws require an employer to provide employees requesting accommodations for a disability with reasonable accommodations. For other employee accommodation requests, please contact Human Resources at hraccommodations@mtsac.edu.


Educational institutions are also required to provide students requesting accommodations for a disability with a reasonable accommodation. Students may request academic accommodations for a disability through the Center for Deaf and Hard of Hearing Students (DHH) at https://www.mtsac.edu/dhhcenter/interpreter-form.html.


Please contact hraccommodations@mtsac.edu or (909) 274-4110 for assistance completing this form.

Requester Information

Phone

The on-site contact is the person hosting or facilitating the event who an interpreter can contact for additional details.

Phone
Number of Interpreters*

The College may adjust the number of interpreters assigned to an event based on the needs of the request.

Event Information

Select
Caret IconCaret symbol

General -

The sensitivity of this event does not require confidentiality.


Confidential -

The sensitivity of this event requires a higher level of confidentiality. This may include but is not limited to topics of employee discipline or work performance, medical accommodations or investigations.

Select
Caret IconCaret symbol

Please provide the reason why this is a confidential event. If you are requesting a specific interpreter or agency please describe why that interpreter or agency fulfills the need for confidentiality.

On-Site Interpreting -

An ASL interpreter is on site and in person.


Virtual Interpreter -

An ASL interpreter is connected through video conferencing.


CART -

A professional transcribes spoken words into text that is viewable in real time, similar to closed captioning.


*Communication Access Realtime Translation (CART) services are only available through the Interactive Process with Human Resources. Please contact HRAccommodations@mtsac.edu for more information.

Select
Caret IconCaret symbol

Please include specific location details (e.g. building #, room #, floor #. Identify a specific location if meeting at a general location like Kerr’s corner)

Is this a Reoccurring or Multi Day Event?*

Please enter all additional dates.

Please enter a detailed description of the event.


  • Where will the interpreter(s) be located during the event?
  • How many people are expected to be in attendance?
  • Who will be in attendance?
  • What topics will be covered (please be as specific as possible)?
Will this Event be Audio or Video Recorded?*

The standard interpreter arrival time is 15 minutes before the start of the event.

Will there be a Break?*

Please enter the duration of the break in minutes.

Additional Information

The Deaf Consumer is the individual needing the ASL interpreting services in order for them to communicate with others.

Select
Caret IconCaret symbol
Will there be additional deaf consumers needing services?*
Number of Additional Deaf Consumers*

Please enter the names and emails of additional deaf consumers.

Please attach any prep materials that will help the assigned interpreters prepare for the event. Please be sure to include uncommon language and or acronyms and their meanings that will be used during the event. (e.g. PowerPoint Presentations, Flyers, Agendas, Floor Plan, Event Layout, Photographs of the event space.)

Drag and drop files here or

Please include any additional information that be important. You may also include any preferred interpreter requests. Please note, preference is subject to availability. While the college is required to provide reasonable accommodations for employees and students with disabilities, it is not required under the Americans with Disabilities Act (ADA) to assign a preferred interpreter. However, Mt. SAC will attempt to fulfill preferences when available.

Cancellations with less than three business days notice will be charged to the requesting department and/or division.

Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse