Interpreting Services Request Form

Name*

First Name

Last Name

NTC Student ID

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Requesting an interpreter for:*

NTC Courses Short term NTC Sponsored Event Meeting with NTC staff/faculty

Must be approved for accommodations through NTC Disability Services. Click on this link to apply for accommodations, https://ntcforms.formstack.com/forms/accommodation... If you need assistance, please call 715 803 1469 or email ds@ntc.edu

Semester:*

Course Name*

Course Number*

Instructor Name*

Campus Location*

Do you need to add another class

Yes No

Course Name*

Course Number*

Instructor Name*

Campus Location*

Do you need to add another class

Yes No

Course Name*

Course Number*

Instructor Name*

Campus Location*

Do you need to add another class

Yes No

Course Name*

Course Number*

Instructor Name*

Campus Location*

Event Title*

Campus Location*

Room Number*

Date(s) - Please be specific if there are multiple dates*

Time (start and end times)*

Additional comments or information

Please notify NTC Disability Services at least 24 hours prior to your scheduled time if you need to cancel your request. Contact 715.803.1469 or email DS@ntc.edu. *

I agree

Interpreter Request Form