Form Request Services Step 1: Contact InformationYour Name* First Last Your Email* What service(s) are you requesting?*Please select all that apply. Sign Language Interpreter(s) Realtime Captioning (CART) Other Unsure Is this service request for you?* Yes, I am the primary user of UCIS services. No, I am making this request on someone's behalf. Are you the event organizer?* Yes No Primary User's Contact InformationPrimary User's Name* First Last Primary User's Email* What is the primary user's affiliation with UConn?*Please specify...StudentFaculty/StaffVisitor/GuestEvent Organizer Contact InformationEvent Organizer Name* First Last Event Organizer Email* Step 2: Event InformationName of Event* Event URL or Brief Description Location* Date of Event*If this is a recurring event, please list the first date in the series. MM slash DD slash YYYY Start Time* : Hours Minutes AM PM AM/PM End Time (estimated)* : Hours Minutes AM PM AM/PM Is this a recurring event?* Yes No How often?* Daily Weekly Biweekly Monthly Other Weekly on...* Sunday Monday Tuesday Wednesday Thursday Friday Saturday Biweekly on...* Sunday Monday Tuesday Wednesday Thursday Friday Saturday Monthly on...* Same date each month Same day of week, 1st week of month Same day of week, 2nd week of month Same day of week, 3rd week of month Same day of week, LAST week of month If other, list additional dates/times:* Additional CommentsNameThis field is for validation purposes and should be left unchanged.