Independent Contractor- Interpreter

Independent Contractor- Interpreter

Please complete the form below to apply as a contracted interpreter
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
How did you hear about us
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Upload Your Resume

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Cover Letter
List the non-English language(s) that you interpret fluently?
What is your highest level of education in English?
How many years have you lived in countries where English was the primary spoken language?
What is your highest level of education in the non-English language(s) that you interpret?
Have you lived in a country where the non-English language(s) that you interpret is the primary spoken language?
Have you ever taken the Test of English as a Foreign Language (TOEFL) exam?
Have you ever taken the Oral Proficiency Interview (OPI) exam?
Please name the interpreter agencies that you are currently working with:
Have you completed a medical interpreter training and/or received certification?
MN State Roster ID
Are you authorized to work in the U.S.?
Have you ever been convicted of or plead guilty or no contest to a crime?
Are you or have you ever been a registered sex offender with any Federal, State, County or local government/police agency, including any listing on a public website?
Have you ever been investigated for fraud by any County, State, or Federal agency in connection with receiving any sort of public assistance?
Have you ever been prohibited from providing interpreting services to any healthcare system, insurance provider, or any other type of payer?
I certify, to the best of my knowledge, that all information provided by me on this application is true and complete. I understand that if any false, misleading information, or consequential omissions of any kind on this application are discovered, my application may be rejected.

I authorize KTTS, Inc. to investigate all information contained in this application. The employers, schools, or individuals named are authorized to give information regarding my employment, character, and qualifications, and are hereby released from all liability from issuing such information.

I understand that I am applying as an Independent Contractor with Kim Tong Translation Service, Inc., and not as an employee of Kim Tong Translation Services.

Please note: If you required the services of an interpreter within the last 48 months, you will not be eligible to apply as a KTTS Medical Interpreter and your application will be denied.
Signature
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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