ASL Interpreter Direct Contract
Acknowledge
Thank you for taking a few minutes to fill out this form.By filling out this form, you understand that this does not guarantee a job; it is simply a list of businesses that want to accommodate Deaf/HH/DeafBlind people at an affordable cost.
Are you a certified interpreter?
*
Yes
No
Back
Next
Thank you for your response. This is intended for certified interpreters.
Name
*
First Name
Last Name
What are your preferred pronouns?
*
She/Her
They/Them 2
He/His
Other
What do you prefer being called?
Which race/ethnicity best describes you? (Please choose only one.)
*
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple Ethnicity
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
In what city do you live?
*
What state do you reside in?
*
What type of interpreting are you able to provide?
*
ASL Interpreting
CDI
Protactile
How many years have you worked as a professional interpreter?
*
0-2
3-5
5-9
10+
How many years have you worked with Deaf/HH children?
*
0-2
3-5
6-9
10+
List which certification you possess. (select all that apply)
*
BEI
RID
Other
What type of level certification do you have? (For example, BEI Advanced, Trilingual, or Basic)
*
What is your onsite hourly rate?
*
Do you charge an admin/booking fee? (If so, please enter the rate. If no, please enter N/A)
*
Please share any other comments you have below:
Back
Next
Thank you for your response. This is intended for certified interpreters.
Should be Empty: