Department of Languages other than English and English as a Second Language Translator/Interpreter Request Form Please submit the following information when requesting a translator/interpreter. Today’s Date: School:
Requested by:
Student’s name: Grade: Language needed: Reason for the request Check one: Assessment: Parent Conference: Please indicate date(s) and time services are needed. Administration of the assessment: Date(s):
Time:
Scoring of the assessment: Date(s):
Time:
Parent Conference: Date: Additional information:
Please interoffice or fax the form to: Francesco L. Fratto Fran Greenspan Center Fax: 631-592-3927
Time:
Other: