64-hour Bridging the Gap Application Form

BRIDGING THE GAP 64-hour Medical Interpreter Training Program

APPLICATION INFORMATION 2021
Bridging the Gap 64-hour Medical Interpreter Training
APPLICATION FORM

Course Fee $725
Session Dates *
Name *

First Name Last Name
Occupation (if self-employed or seeking employment, please indicate here):
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Primary Language *
Second Language *
Third Language (if applicable)
How did you hear about our training? *
Copy of high school diploma, GED, or university/college degree *

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PROOF OF LANGUAGE PROFICIENCY

Proof of language proficiency can be copies of any one of the following documents:
- High school diploma or equivalent, or university/college degree from a school using the assessed language(s)
- 5 or more years of verified professional experience working in the language(s) being assessed
- State or federal court interpreter certification
- Oral language exam results with scores equivalent to ACTFL Advanced Mid-level or ILR Level 2
Proof of language proficiency (Language 1) *

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Proof of language proficiency (Language 2)

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If you do not have proof of proficiency in your second language, please skip this question. Please contact Agi at erhaagioseth@apdc.org to arrange a language proficiency assessment. Cancel of
Please write the language for your bilingual medical glossary:
If it is not available in your language, you will receive an English – English medical glossary.
We require a $150 non-refundable course deposit to reserve your spot in our training. Remaining course fee ($575) must be paid before the first day of class.

Language proficiency test fee $70 is not included in the course fee. The score must be a 9 or higher is required for BTG admission

Colorado Language Connection only accepts payment through PayPal. PayPal has the option to pay with a credit/debit card if you don't have an account with PayPal.

Use the following link to make an online payment: https://www.coloradolanguageconnection.org/bridging-the-gap
By signing below, I hereby acknowledge that I have read, understand and agree to the terms. *

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BRIDGING THE GAP 64-hour Medical Interpreter Training Program