Sign Language Resources, Inc.
 

...with your success in mind!
     SLR... Service, Quality, Support.
 

Interpreter Personal/Professional Info

 

This form is a convenient way to let Sign Language Resources know about your availability, talents, and preferences. Please type your information in below, and then click submit. All information is kept highly confidential to SLR and is never shared unless we have your permission. If you have any questions at all don't hesitate to CONTACT SLR.

INTERPRETER'S PERSONAL INFORMATION  

Today's Date*:  

Your First Name*:   Middle Initial:   Your Last Name*:

     Your Corporate Name:     

     Mailing Address*:  

          City*:   State*:   Zip*:  

         County*: 

     Please fill in ALL applicable contact information.

     Home Tel Number*:     Fax Number:  

          Work Number:   Mobile Number:  

          E-Mail Address #1*:  

          E-Mail Address #2:  

          Text Pager Address:

          Pager Number or Address:

      

INTERPRETER'S SKILLS AND CREDENTIALS  

Your Interpreting Certification(s) (select ALL that apply)*:

          CI and CT          CI                   CT                  CSC

          SC:L                 CDI                  RSC                IC/TC  

          IC                     TC                   OIC                 OTC  

          NAD:V               NAD:IV            NAD:III           Pre-Certified

What degrees do you hold?

 

Do you have a specialty in a certain area (legal, mental health, medical, educational, etc)? (specify all)

 

Is there an area of interpreting, a consumer, or another professional interpreter that you feel is incompatible with your work style or preferences?

 

      

INTERPETER'S AVAILABILITY

Is there any particular time you are unavailable on an extended basis (example: for a semester)?

 MONAM PM ALL DAY

 TUEAM PM ALL DAY

 WEDAM PM ALL DAY

 THUAM PM ALL DAY

 FRIAM PM ALL DAY

Would you like to tell us the dates of your vacation or other extended time not available?

Not Available Start Date:  

Not Available End Date:   

Are you willing to travel outside of your county for scheduled work during business hours?*

 YES NO     Comments: 

 Are you willing to receive calls during non-business hours for emergencies in your county within your area of expertise?*

YES  NO   Comments:

       

Additional Comments:

 

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Home   © 2005 Sign Language Resources, Inc., (SLR)   1607 Route 300, Suite 106, Newburgh, NY 12550
 Phone 845-566-7951            Video Phone 845-566-1417            FAX 845-566-7471          General Email            Site Map
Webmaster: Deborah Greener    Last Modified: 08/24/08
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 Sign Language Interpreting Services, Nationally Certified American Sign Language Interpreters