DISABILITY RESOURCES

 

Request a Sign Language Interpreter
for an NAU-Related Event


REQUIRED FIELD NAMES HAVE AN ASTERISK *

REQUESTOR INFORMATION

Name: *
E-Mail Address: Please provide either your email address or phone number *
Phone Number: Phone Type

Deaf or Hard of Hearing Client

Name 1: *
Preferred mode of communication:
 *


ACTIVITY DESCRIPTION

Activity start date:  *

Start Time:  *

End Time:  *

Activity/Event title:
Building name or number:
Room name or number:
Presenter's Name:
Presenter's Contact Information:

Description of the activity (lecture, discussion, Previews, etc.):  *

Additional Activity Information (choose all that apply):  *
One-to-One
Group Discussion
Platform/Stage
Formal
Casual
Other