{"id":4280,"date":"2017-01-04T11:11:38","date_gmt":"2017-01-04T19:11:38","guid":{"rendered":"https:\/\/www.palomar.edu\/hr\/?page_id=4280"},"modified":"2017-01-31T10:24:46","modified_gmt":"2017-01-31T18:24:46","slug":"interpretercart-service-request-form","status":"publish","type":"page","link":"https:\/\/www.palomar.edu\/hr\/interpretercart-service-request-form\/","title":{"rendered":"ASL Interpreter\/CART Service Request Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='legacy' data-form-index='0' id='gform_wrapper_11' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>HR form to request ASL Interpreting\/CART Services <strong>(Employee use only)<\/strong>\r\n<br>(Student requests, refer back to DRC)<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/hr\/wp-json\/wp\/v2\/pages\/4280' data-formid='11' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_11_10\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Employee Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_10'>\n                            \n                            <span id='input_11_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_11_10_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_10.3' id='input_11_10_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_11_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_11_10_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_10.6' id='input_11_10_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_11_5\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Palomar College Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_11_5'>Use your Palomar email address, where you will receive confirmation of your request.<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_11_5_container'>\n                                <span id='input_11_5_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_5' id='input_11_5' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_5\" \/>\n                                    <label for='input_11_5' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_11_5_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_5_2' id='input_11_5_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_5\" \/>\n                                    <label for='input_11_5_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_11_36\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_36'><span class='gform-field-label__text'>Type of Services<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_11_36' class='large gfield_select'  aria-describedby=\"gfield_description_11_36\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Real-Time Captioning' >Real-Time Captioning<\/option><option value='ASL Interpreting' selected='selected'>ASL Interpreting<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_36'>Use the drop down menu to select the type of services needed for this event.<\/div><\/li><li id=\"field_11_37\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_37'><span class='gform-field-label__text'>Type of Request<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_11_37' class='large gfield_select'  aria-describedby=\"gfield_description_11_37\"   aria-invalid=\"false\" ><option value='One single event\/meeting date' >One single event\/meeting date<\/option><option value='Multiple meeting dates' >Multiple meeting dates<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_37'>We need to know if this is a request for one single event or ongoing for a series of meetings.<\/div><\/li><li id=\"field_11_34\" class=\"gfield gfield--type-textarea gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_34'><span class='gform-field-label__text'>Date(s) Interpreter Needed:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_11_34' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Day(s) needed:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_11_31'><li class='gchoice gchoice_11_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Monday'  id='choice_11_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_1' id='label_11_31_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='Tuesday'  id='choice_11_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_2' id='label_11_31_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.3' type='checkbox'  value='Wednesday'  id='choice_11_31_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_3' id='label_11_31_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.4' type='checkbox'  value='Thursday'  id='choice_11_31_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_4' id='label_11_31_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.5' type='checkbox'  value='Friday'  id='choice_11_31_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_5' id='label_11_31_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.6' type='checkbox'  value='Saturday'  id='choice_11_31_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_6' id='label_11_31_6' class='gform-field-label gform-field-label--type-inline'>Saturday<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_11_31_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.7' type='checkbox'  value='Sunday'  id='choice_11_31_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_31_7' id='label_11_31_7' class='gform-field-label gform-field-label--type-inline'>Sunday<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_11_17\" class=\"gfield gfield--type-time gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Start Time<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_11_17'>\n                            <input type='number' name='input_17[]' id='input_11_17_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_11_17_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_17[]' id='input_11_17_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_11_17_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time above gform-grid-col' >\n                                \n                                <select name='input_17[]' id='input_11_17_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_11_17_3'>AM\/PM<\/label>\n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_11_32\" class=\"gfield gfield--type-time gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>End Time<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_11_32'>\n                            <input type='number' name='input_32[]' id='input_11_32_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_11_32_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_32[]' id='input_11_32_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_11_32_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time above gform-grid-col' >\n                                \n                                <select name='input_32[]' id='input_11_32_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_11_32_3'>AM\/PM<\/label>\n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_11_11\" class=\"gfield gfield--type-textarea gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_11'><span class='gform-field-label__text'>Location:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_11_11'>List campus location and room #.   If off campus, list address. If remote\/virtual, a meeting link must be provided.<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='200' data-text-counter-template='{current} of {max} max characters'><textarea name='input_11' id='input_11_11' class='textarea medium'  aria-describedby=\"gfield_description_11_11\" maxlength='200'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_12\" class=\"gfield gfield--type-textarea gf_right_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_12'><span class='gform-field-label__text'>Description of Event:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_11_12'>(e.g. classroom interpreting, committee meeting interpreting, etc.)<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='200' data-text-counter-template='{current} of {max} max characters'><textarea name='input_12' id='input_11_12' class='textarea medium'  aria-describedby=\"gfield_description_11_12\" maxlength='200'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_11_35\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_35'><span class='gform-field-label__text'>Other Comments:<\/span><\/label><div class='gfield_description' id='gfield_description_11_35'>(e.g. Request a preferred interpreter or other special needs)<\/div><div class='ginput_container ginput_container_text'><input name='input_35' id='input_11_35' type='text' value='' class='large'  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