Nonprofit Language Access Request

Nonprofit Language Access Request — Form Fields

This nonprofit template includes 8 fields. Request interpretation or translation services for program participants or clients with language barriers. Free to customize and use on ZenBuild.

• Requester Name (text, required)
• Client or Program Participant Name (text, required)
• Language Needed (dropdown selection, required) — options: Spanish, Arabic, Mandarin, French, Somali, Haitian Creole, Portuguese, Tagalog, Vietnamese, Other
• Service Type Needed (dropdown selection, required) — options: In-Person Interpretation, Phone Interpretation, Document Translation, Video Remote Interpretation
• Appointment or Meeting Date/Time (text, required)
• Program or Service Area (text, required)
• Additional context or instructions (long text, optional)
• Requester Email (email, required)