Interpreting/Captioning - Student Responsibility Form

Responsibility of the Student:

Utilizing Interpreting/Captioning Services

  1. Each quarter a “Request for Services” (pink form) and printout of class schedule is submitted to Deaf/Hard of Hearing Services (DHHS). If you make any changes to your schedule, you MUST submit a new pink form and the most current printout of your schedule.
  1. If dissatisfied with your interpreting/captioning services, you may discuss the issue directly with the Interpreter/Captioner, or with the DHHS Supervisor as soon as possible.
  1. When absent from a class, contact DHHS at If you do not let us know of the absence, it is marked as a no-show.
  1. Wait times for classes: • 15 minutes for a one-hour class
  • 20 minutes for a two-hour class
  • 30 minutes for a class lasting three hours or more

Arriving late could mean missing important announcements at the beginning of class.

It will be your responsibility to ask the instructor what you missed.

Consequences of No-shows:

1st no-show: Student receives a written reminder of the notification requirements from DHHS

2nd no-show: Student receives a written notice and needs to meet with the DSS counselor on the day and time shown on the second notice.

3rd no-show: Student will be informed, in writing, of suspension of service and will be required to schedule an appointment to meet with the DSS Executive Head, Dr. Kevin Glapion, to further discuss and clarify DHHS expectations.

4th no-show: Your services are terminated for the remainder of the quarter. If you want to reinstate services or appeal the suspension, review the Suspension of Services process, Administrative Procedures AP-5076, at: This is explained in the online Disability Information Student Handbook (DISH), and New Student Orientation packet provided at your initial intake.

I have read and understand the Responsibility of the Student: Utilizing Interpreting/Captioning Services as stated above.

____________________________________                                                 _______________________
Print Name                                                                                              Quarter

____________________________________                                          _______________________
Signature                                                                                                 Date

If suspension Occurs

_______________________________                          ______________________________Student Signature            Date                                       Executive head Signature      Date

- End of Appendices -

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DISH Table of Contents

- (Quick Links)

Section One: Coming to De Anza College

Section Two: Using Disability Services and Accommodations

General / College-Wide Accommodations and Services

Instructional / Classroom Accommodations and Services:

Alternate Media Services:

Deaf or Hard of Hearing Services:

Legal Aspects

Concerns and Complaints

Section Three: Disability Support Programs & Services Instruction

Section Four: Success Strategies

Section Five: Campus and Community Life

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