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Disability Verification

Disability Verification Form

Meet a DSS Counselor

Request DHHS Interpreting/Captioning Services

Interpreter Open Times

Winter Quarter 2020

Interpreter/Captioner Request Forms

QUARTERLY REQUEST FORM

This is for interpreting/captioning services for your classes for the entire quarter.

ONE-TIME REQUEST FORM

The Apply Now button will take you to OpenCCC, an online application system used by De Anza and other California community colleges.

Complete the De Anza College application and you will receive your CampusWide IDentification (CWID) number and password to access the college’s MyPortal site.

APPLY NOW

Complete and submit the online DSPS Application for services:

Login to MyPortal,
Select the Student tab and find the “ClockWork Student Portlet”, and
Select “ClockWork De Anza Disability Progs & Svcs”.

Submit the following to verify your disability(ies):

Disability Verification Form (NOTE: You must fill out the Student Information portion before giving the form to your Doctor or appropriate health professional).
AUDIOGRAM: Must be less than 2 years.

Return the completed Disability Verification Form to DSPS.

Submit Options:

FAX to (408) 864-5492
Have it scanned then e-mail as an attachment to DSS@fhda.edu
Bring it in person to RSS 141
Scan it before step 2 then upload it during the online DSPS Application process.

Upon completing the DSPS application and clicking the "Submit" button, a DSS staff member will promptly contact you to set-up an appointment with a DSS Counselor.

Once you have established accommodations with your counselor, submit an interpreter/captioner request form on-line.

QUARTERLY REQUEST FORM

Need an Interpreter quickly?

If you are a currently enrolled student and need an interpreter for drop-in tutoring, to meet with an instructor, a visit to Financial Aid, the Bookstore or any other on-campus interpreting needs, check our interpreter Open Time availability schedule.

HOW?

Check here to see when an interpreter is available.
Go directly to the interpreter's office or email that interpreter. We will provide interpreting for you.

NOTE:

The DHHS supervisor may not be able to respond to open hour requests. Contact the interpreter directly. Interpreter Open Times may change, so please make sure to check the schedule below to ensure an interpreter is available.

Winter break begins Dec 16th. Interpreters will be available for open time starting January 6th. If you are in need of interpreting services, please email Stacy Chapman at chapmanstacy@fhda.edu.

Interpreter Contact Information:

DHHS: LCW 110

Interpeter	Office Location	Email Address
Stacy Chapman	Office 109	stacychapman@fhda.edu
Christine Nakahara	Cubicle 1	nakaharachristine@fhda.edu
Hannah Pahl	Office 108	pahlhannah@fhda.edu
Joanna Smith	Cubicle 2	smithjoanna@fhda.edu
Clare Bachman	Cubicle 2	bachmanclare@fhda.edu

Note: Right after meeting with your DSS Counselor and selecting your classes, fill the pink form out with all the classes you will need interpreting or captioning services. Failure to fill this form out may result in not receiving DHHS services.

Monday

Tuesday

Wednesday

Thursday

Friday

This form is to request an interpreter or captioner for meeting an instructor during office hours, attending an event, meeting classmates to work on a project, drop in tutoring, etc..