Oral Interpretation Service Request Form

Oral Interpretation Service Request Form

Plurilingual Services
Written Translation Service Request Form
Please contact the Plurilingual Services office if you require immediate assistance at

(714) 999-3568.

**CANCELLATIONS OR CHANGES - email or call Laura Rodriguez at Rodriguez_La@auhsd.us or (714) 999-3568
Email
username@auhsd.us
School Name or District Office Dept. Name
(days in parenthesis are for Spanish Interpretation that is available for your site)
If other School or District Office Department Name
Language(s) Needed

ArabicSpanishKoreanVietnameseASLOther
1. Date of Meeting or Event:
- If this is for a Spanish phone call, please fill out this form.
- If this is for a phone call in Korean, Vietnamese, or Arabic, please select today's date, for other languages email Laura Rodriguez (to provide agency information).
- Please do your best to schedule meetings/IEPs on the days when interpreters are assigned to support your site. If the meeting is not on one of those days, please indicate a reason under special comments. Thank you!
2. Date of the Meeting/Event and Start Time:

MonthDayYear

(please add a time even if it is just for a phone call) Hour MinutesAM/PM Option
3. Date of the Meeting/Event and End time:

MonthDayYear
Date
(please add a time even if it is just for a phone call) Hour MinutesAM/PM Option
- 4.a Student Name
  
  First NameLast Name
- 4.b Event Name
- 5. Parent/Guardian Name
  
  First NameLast Name
- 6. Parent/Guardian Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- 7. Description of Meeting/Event (i.e., IEP, Parent Conference, etc.)
  For events, please email presentation materials at least 3 days before event so interpreters can review, draft is ok.
- 8. Location of Meeting/Event (i.e., IEP Room#, Main Office, Virtual)
  If virtual, please include Google Meet or Zoom meeting info.
- 9. Date Needed By (If requesting a parent phone call in Korean, Vietnamese or Arabic)
  
  MonthDayYear
  For Spanish please submit: Spanish Phone Call Request Form
- Comments/Special Requests (please add phone call message here, if request is for a phone call for Korean, Vietnamese or Arabic).
  If your meeting is not scheduled on one of the days the interpreters are assigned to support your site, please indicate a reason.
- Contact Person
- Contact Person Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Account # to Charge overtime for Evening Events
  (Anytime after 4:00 PM would be considered Overtime)
- Should be Empty: