The purpose of this form is to collect data necessary to carry out any available interpretation work that Interpretation Solutions (I.S.) has. All information will be kept confidential and will not be shared with third parties. Red asterisks (*) indicate required fields.

To facilitate I.S.' verification of claims regarding interpreters' qualifications / certification / professional association membership, we require applicants to submit supporting documents for all items stated in burgundy texts. You can provide this information to us via one of the following methods:

a) Scan supporting documents and send in as e-mail attachments to Fiona@interpretation-services.ca
b) Provide website links to copies of supporting documents on application form
c) Fax copies of supporting documents to fax no. (416) 273-3610
d) Mail copies of supporting documents to Interpretation Solutions
(address at footer) with attention to Interpretation – Recruitment.



Title*:
  *
First Name(s)*: *
 
Last Name*: *
 
Email Address*: *
   
Phone No.
(Daytime)*:
*
 
Phone No.
(Secondary)*:
*
Fax No.:


Home Address*:


Please provide full address including Apt. No., Street No., Street Name, City, Province, and Postal code. (Where applicable)
*
 
Academic
Education*:
Please specify your highest educational qualification obtained, including name of educational institution and country.
*
 
Availability:



Driver's Licence*: Do you have a valid Ontario driver’s licence?*  
Vehicle*: Do you have a vehicle for getting to interpretation sites?*  
Language Pair in
Interpretation*:
* Please check at least one.

   
 
Experience*:




Number of jobs/assignments in sign language interpretation:
*
 

Specialization: If you specialize in interpretation in a particular field or industry, please specify. Otherwise, please state General.


Interpretation Qualifications: Please list any sign language interpretation related qualifications obtained, including country issued.


Certified / Accredited Interpreter Designation: Are you a Certified or Accredited Sign Language Interpreter? 
If yes, please provide details on type of designation and issuing body (e.g. Certificate of Interpretation by AVLIC, Accreditation by Ontario Ministry of the Attorney General).


Professional
Membership:
Are you an active member of any recognized professional interpreter association(s)? If yes, please specify.


Rates*: For Sign Language Interpretation: *
 $ *hourly rate [example: $ 20 hourly rate.]  
 $  minimum charge (if applicable)

Referencess*: Please provide the names and contact information of two references.
*  


Remark: Please check the box below and fill in your name and date.


Full Name: *
 
Date: (yyyy-mm-dd) *