Community Interpreting Certificate Program Application Form

Application for Admission

Community Interpreting Certificate Program
Center for Interpretation and Translation Studies

University of Hawaii Manoa
Full Name

First NameSurname
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Preferred Name (if any)
Gender
(optional)
Email
Phone Number

Country CodeArea CodePhone Number
________________________
Please indicate the type of phone line
Other Phone Number

Country CodeArea CodePhone Number
Mailing Address
Languages
Language A
This is your strongest language
Please indicate your level of fluency in your LA
Please indicate if you can read and write in you LA
Language B
This is your strongest language
Please indicate your level of fluency in your LB
Please indicate if you can read and write in you LB
Language C (additional language, if any)
Please indicate your level of fluency in your LC
Please indicate if you can read and write in you LC
Please respond to the following questions with a short answer.
1. Briefly describe your language background.
2. Do you have any experience in translating and/or interpreting? Please explain.
3. Briefly explain the highest degree of education you have completed.
4. Do you have any additional comments, or is there anything else that you would like us to know?
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Application for Admission