40hour Bridging the Gap Application Form

BRIDGING THE GAP 40-hour Medical Interpreter Training Program

APPLICATION INFORMATION 2022
Bridging the Gap 40-hour Medical Interpreter Training
APPLICATION FORM

Course Fee $550
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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ORAL PROFICIENCY IN ENGLISH

Proof of language proficiency of any one of the following documents:
- Bachelor, Masters, PhD, or any other degree from any US institution of higher education.
- Graduation from any High School from an English language country or from an American School abroad
One of the following tests (subject to change):
- TOEFL (Test of English as a Foreign Language): 570+ on paper; 230+ on computer version; 90+ on iBT.
- ELPT (English Language Proficiency Test): 950+
- MELAB (Michigan English Language Assessment Battery) 80+
- ECPE (Examination for the Certificate of Proficiency in English): PASS
- FCE (First Certificate in English, Level 3): A
- CAE (Certificate in Advanced English, Level 4): B
- CPE (Certificate of Proficiency in English, Level 5): B
- IELTS (International English Language Testing System) 7.0+
ORAL PROFICIENCY IN TARGET LANGUAGE

Proof of language proficiency of any one of the following documents:
- Copy of high school diploma or GED certificate
- University/College degree from a school using the assessed language(s)
- 15+ semester credit hours of courses in the target language
- 5 or more years of verified professional experience working in the language(s) being assessed.
- State or federal court interpreter certification
- Oral language proficiency results with scores equivalent to ACTFL Advanced Mid-level or ILR Level 2; Through ALTA, the score must be a 9 or higher is required for admission
If you have other certificate/document that is not listed here and not sure if it is accepted as proof of proficiency, please email a copy of that document to erhaagioseth@apdc.org
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 ($400) 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 40-hour Medical Interpreter Training Program