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Interpreter Outreach Services Request Form

Tennessee Schools for the Deaf Logo

Interpreting Services for the Deaf and Hard of Hearing

Interpreter Outreach Services

2725 Island Home Blvd

Knoxville, TN 37920

Please submit request two weeks prior to expected date of visit.

Interpreter Supervisor Contact Information

Interpreter Contact Information

Requester's Contact Information

Type of service(s) requested (select all that apply):
Answer Required
Has the parent / guardian given permission to release or share information with TSD Interpreter Outreach Services?*
Answer Required

* Authorization to release information (1 form per student) must be signed by the parent / guardian and recieved by the TSD Interpreter Outreach Services prior to scheduling the visit.

Please visit the TSD Interpreter Outreach for a fillable and printable Authorization to Release Information PDF.

Please scan and send via email to Danielle Petersen d.petersen@tsdeaf.org using "Interpreter Outreach Authorization" in the subject line to the attention of TSD Interpreter Outreach Services.

Confirmation Email