INTERPRETATION REQUEST FORM (ORAL)
 We provide interpreters to communicate essential educational information to parents (for
example: academic issues, discipline, placement, and curriculum).
 Interpretation requests are processed on a first-come, first-served basis. One week notice is
recommended.
 We will not be able to process incomplete requests.
Fill out form and send to: translate@aps.edu
TIP: DO A “SAVE AS” AND KEEP A BLANK COPY FOR FUTURE USE.
TODAY’S DATE:
Requestor:
Email address:
School NAME (not number) or Dept.:
Phone:
Meeting site (if different from site above):
Contact person at site:
Initial of day
MTWThF
Month
Date
Start time
Ext.:
Room:
Phone:
End time
Ext.:
Student name
Type of meeting:
IEP
MET
MET/IEP
Student Hearing
PT Conference
Screening/Eval./Test
Audiologist/Nurse
Health Clinic
Other (specify):
PTO/PTA
Nurse
SAT
AIP
Language:
Spanish
Vietnamese
Chinese
Arabic
Farsi
Russian
Korean
Navajo
Japanese
Other (specify):
Parent/Guardian Contact Information (Include ONLY for phone interpretation or for requests for languages
OTHER than Spanish:
Number of headsets needed (if applicable):
Additional instructions/Message to be conveyed for phone interpretation:
Please have someone at your site contact parents a day or two before the meeting to confirm their
presence. This will improve parent attendance and avoid unnecessary expenses for our district. Notify our
office immediately of any changes and cancellations. Thank you for your assistance!
Translation & Interpretation Services. Language and Cultural Equity
Cristina Carrillo 881-9429 x 80070 Manola Colter 881-9429 x 80071 Sindy Flor 881-9429 x 80072
E-MAIL: translate@aps.edu FAX: 872-8862