Register as an Interpreter

Please describe your fee structure, including any special considerations and discounts you are able to offer:

What is your schedule of availability?

Zip *

Please describe your current work situation:

State *

By Checking Yes, I Agree to Receive Text Messages at the Number Provided

Yes

No

Are you Certified by any other organization?

Yes

No

Do you have any questions, comments, or other information you wish to share?

Email: *

If yes, please describe:

Have you completed an interpreter training program?

Yes

No

How long have you held your certification?

Reference 2

Tell us about your interpreting experience, including your strengths/weaknesses and preferred settings:

If yes, please list your certificates:

How did you hear about American Sign Language Services Community, and what prompted you to register with us?

Do you hold certification from the Registry of Interpreters for the Deaf (RID), National Association of the Deaf (NAD) or have an EIPA score of levels 4 or 5?

Yes

No

City *

Cell Phone

Address *

Please list three professional references and include their contact information:

First Name: *

Do you have proof of liability insurance?

Yes

No

What is your highest level of education, and what degree(s) do you hold?

Do you have a current business license issued from the city in which you are based?

Yes

No

Last Name: *

Reference 3

AMERICAN SIGN LANGUAGE SERVICES COMMUNITY

1146 Soquel Ave #2087 Santa Cruz, California 95062 USA