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INTERPRETERS FOR HEARING-IMPAIRED PARENTS EXHIBIT   

Accommodation Request

Parents in need of interpreter services are asked to complete this form:

TO:      Superintendent of Schools

Central Square Central School District

FROM:___________________________________________________
Name

            ___________________________________________________                                               Address
___________________________________________________
Please identify the type of interpreter needed:

            Interpreter for the hearing-impaired (___) American Sign; (___) English

In the event an interpreter is not available, please identify the type of alternative service preferred.

            Written Communication

            Transcripts

            Decoder

            Telecommunication Device for the Deaf (TDD)

            Other (please specify)____________________________________________________