Reasonable

Accomodations

 

August 3, 2007

Philadelphia, PA

Please fill out form completely and send to:

Please send all attachments in: MS word or PDF

Requests will be accepted in both English and Spanish

"Mano a Mano"Board
3700 Commerce Blvd. Suite 108
Kissimmee, Florida 34741

Download PDF here

Download M.S. Word here

Title
First Name
Last Name
Address
City
State
Zip code
Country
Phone(s) /Video Phones
Email
Indicate which workshop title and time of workshop
Type of services requested:
ASL Interpreter

C.A.R.T. Services (English)

Tactile (fingerspelling) English
Tactile (tracking) ASL
Low Vision (ASL)

CDI

Certified Deaf Interpreter

• Special Circumstances – Any special circumstances that we should consider when choosing Interpreters/Captioners
• Evaluation and Assessment Process – Provide how you will measure participants understanding of material presented.
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