ASL Interpreter Request Form

Today's Date

Date

Time

Type of request for an ASL Interpreter

Catholic Conference, Retreat, Lecture (Multiday)
Parish Conference, Retreat, or Lecture (Single Event)
Diocesan Mass (Big Event)
Diocesan Sponsored Conference / Retreat
Diocesan Sponsored Outing: Themepark, Ballgame, Pilgrimage
Funeral
Baptism
First Communion
Wedding
Quinceañera

I understand that most of the Diocese's ASL Interpreters are volunteers and or lightly compensated for their expertise and experience. I agree to pay or find the necessary funds to cover the registration, parking fees, and lodging-(pilgrimage) for the appropriate number of interpreters needed. *

Yes, I agree.

Name of the Deceased *

First

Last

Name of Catholic Church or venue: where the Mass or service is to be said *

Note regarding Funerals: The Catholic Church does not allow a funeral Mass (where the bread and wine are consecrated to become Jesus' precious body and blood) at funeral homes or at cemeteries. We can only provide a funeral service (liturgy of the word, preaching, & prayers) at cemeteries or funeral homes. Thank you for your understanding.

Address of Catholic Church or Venue: Where the Mass or Service is to be said. *

Address Line 1

Address Line 2

City

State

Zip Code

Date & Time of the Mass or Service at the Church/Venue *

Date

Time

Do you need a ASL Interpreter at the Cemetery? *

If you have not made arrangements with the Church for the graveside service at the cemetery either because you have missed their planning deadlines or for some other reason, would you like to see if we can get a deacon or priest to do the graveside service at the cemetery along with an Interpreter?

No
Yes

Name of the Cemetery

Cemetery

Address Line 1

Address Line 2

City

State

Zip Code

Date & Time of the Graveside service?

Date

Time

Grave number:

Let us know what grave number your family member, relative, or friend can be found. Please add any special instructions to help us make it easier to find it.

My Name *

First

Last

My Phone number *

My Email address *

My relation to the Deceased *

Person who needs the ASL Interpreter *

First

Last

Email address (Person who needs the ASL Interpreter) *

not My Phone

Phone number of the person who needs the ASL Interpreter *

Deaf or Hard of Hearing relation to the Deceased *

ASL Interpreter: *

English & American Sign Language Interpreter
Spanish & American Sign Language Interpreter

Name of the Event / Celebration / Gathering *

Name of the location where the event will take place *

Please give exact details of where exactly on the campus grounds the Interpreter is needed, which room, floor #...etc

Address of the event *

Address Line 1

Address Line 2

City

State

Zip Code

Date / Time that the event starts (That the ASL Interpreter will be to begin intepreting) *

Date

Time

How many hours will the main event/speaker be talking in one session: without interruption or breaks? *

45 minutes
1 hour
1.5 hours
2+ hours

In the American Sign Language profession:

Generally every 20-25 minutes a team of two interpreters work together and switch-off in intervals. For long days of a single speaker or multiple speakers (speaking at the same time in different locations), it will require 3-4 teams, 6-8 interpreters.

Is there an already designated area that you have set aside for the Deaf & Hard of Hearing to gather? (This normally is in the front row in accordance with the American Disability Act (ADA), 1990 *

Yes
No

Please explain what efforts are currently being made to ensure the Deaf & Hard of Hearing have a suitable space for their needs. (What section number, isles, rows have been reserved for them?) Are there any signs or postings that indicate to the Deaf / H-o-H where to go once they have arrived to find their seating? *

Large events with a multitude of Deaf & Hard of Hearing present generally requires for Assisted Listening Devices to be offered. Will you allow for two easy-up-tents to be setup to signal for the Hard of Hearing to pick up an Assisted Listening Device? *

Yes
No

Lets continue the conversation: *

Please upload any/all Booklet(s) that will be used for the service, conference, retreat or Mass. Just drag and drop the files into the shaded box below. Thank you!

Drag & Drop Files, Choose Files to Upload You can upload up to 7 files.

I understand that in requesting an ASL interpreter: We kindly ask for a donation of 150$ to be given to the parish church where the services will be held. The church will give the donation to the interpreter. Your donation suits the occasion, time, and expertise in this special field. If you feel inclined to give a subsequent donation on the day of the services, you may give it to the interpreter directly. Is this agreeable to you?

Yes
No

The ASL Interpreter is needed at: *

Funeral Mass/Service at a Catholic Church
Place of Visitation ("Viewing" or "Wake")
Graveside Service at Cemetery
Place of visitation, Funeral Mass/ Service at a Catholic Church, Graveside service at Cemetery
Meetings with Mortuary or Funeral Home, Place of visitation, Funeral Mass/ Service, Graveside service at Cemetery

We cannot gaurantee that we will be able to arrange for one of the approved interpreters that the Diocese of Orange recognizes to do the services you are requesting. If we are able or not able to make the arrangement, we will let you know. If you are supplying your own interpreter we kindly ask that they consult with us well-in-advance to-go-over liturgical customs and practices we adhere to. Is this clear and agreeable to you? *

Yes, I understand: and will comply with the above instructions.
No

Please add any additional information that you believe may be helpful for us to know. Also, can you tell us approximately how many Deaf persons are likely to attend.

A two week minimum notification is appreciated so that we can properly plan the funeral of your loved one.

Interpreters:

According to Americans with Disabilities Act (ADA), Title III, the funeral home, as a place of public accommodation, has the responsibility to provide interpreting services for the Deaf. (This applies if you are doing the funeral service at the funeral home, not at the Church).

***Please review the "Policy for working with Interpreters in Catholic Religious Settings***

If our local Catholic interpreters cannot be reached or are not available, the family or parish may resort to contracting with the one of the following interpreting agencies:

Lifesigns 888-930-7776 [email protected]

Rise Interpreting 951-565-4422 [email protected]

We ask that in the event a interpreting agency is contracted with: that they reach out to us so that we can provide them with our liturgical norms and customs we adhere-to.

WELCOME TO THE DIOCESE OF ORANGE CATHOLIC DEAF COMMUNITY

ASL Interpreter Request Form

ASL Interpreter request form