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Equal Opportunity Services Everett Tademy, Director (412) 268 2012 et19@andrew.cmu.edu Larry Powell, Coordinator (412) 268-2013 lpowell@andrew.cmu.edu
 

Summary: Equal Opportunity Services
Everett Tademy, Director (412) 268 2012 et19@andrew.cmu.edu Larry Powell, Coordinator (412) 268-2013 lpowell@andrew.cmu.edu
Interpreter Request Form
Assistance for Individuals with Disabilities
Qualified individuals are entitled to reasonable accommodations under the Americans with Disabilities Act (ADA
regulations). Accommodations are determined on a case-by-case basis. Equal Opportunity Services serve as links between
individuals with disabilities and the campus community. Information released will provide documentation of a disability for
faculty, staff, students and prospective students of Carnegie Mellon University. All information will be considered
confidential and only released to appropriate personnel on a need to know basis. To access services, individuals must initiate
a request in writing for specific services/accommodations (books on tape, enlargements, interpreters, etc.). Accommodations
prescribed only apply to Carnegie Mellon University and may not be valid elsewhere. The individual takes full responsibility
for ongoing assistance.
Please fill out the form below. This will initiate your requested accommodation....Thank you.
Name___________________________________________________ E-mail__________________________________
Address:________________________________________________________________________________________
Phone/TTY:________________________________ Social Security #:_________________________________
Class/Event Room/Location Time Day(s)
Are you eligible for third party funding?_______________________________________________________________
Third Party Contact, Name/Address:__________________________________________________________________
_____________________________________ Phone:______________________E-mail:________________________

  

Source: Andrews, Peter B. - Department of Mathematical Sciences, Carnegie Mellon University

 

Collections: Mathematics