FRENCH LANGUAGE SERVICES

A1151 – 409 TACHÉ AVENUE

WINNIPEG, MANITOBA R2H 2A6

REQUEST FOR GRANT FOR SPECIAL TRANSLATION PROGRAM FORM

Instructions:

Complete the Request for Translation Grant for Special Projects Form and send via email to , along with the document to be translated in PDF or Word format only.

* Incomplete requests will not be processed.

* To ensure the ongoing viability of projects, translation requests will be received on a continual basis and assessed and processed as received.

* Time-sensitive projects are unsuited for this program.

Facility/Program/Service/Agency:

Contact Person: Phone no: //

Request Approved by: Title:

(Supervisor/Manager/Director)

Date of Request: Date required:

Title of Document:

Type of Document:

Key internal or external presentations Training or “Train the Trainer” materials

Policies Board or meeting minutes (one time only)

Internal staff newsletter (one time only) Other – specify:

Reason translation is required:

Is this a final document? Yes No

Draft documents will not be translated.

Has this document been solely authored by a facility, program, service or agency of the WRHA? Yes No

If no, have you respected copyright obligations as per FLS copyright process sheet? Yes No

Does a similar document exist? Yes No

If yes, please check all that apply and add details accordingly:

Previous translation attached to email

Document previously translated by FLS Title of document: Year Translated:

Document found on the internet Web site where document was found:

Does the Facility/Program/Service/Agency have a preferred translator? Yes No

Name of preferred translator:

Is the preferred translator accredited? Yes No

Full or Partial Translation: Full Partial

If partial translation, please highlight sections to be translated in document.

Total Word Count:

FOR FLS OFFICE USE ONLY

FLS Word count: FLS Word count to date: FLS Cost to date:

Request Approved: Sent for Translation: Translation Received:

Translation Reviewed: Translation Forwarded: Final Proof Approved: