Interpreter Application Form
Thank you for your interest in interpreting at DIC5. This conference brings together Deaf Interpreters, educators, and community members from across the country. Please complete the application below.
1. Name
*
First Name
Last Name
2. Mobile/Text Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
3. VideoPhone
Please enter a valid phone number.
Format: (000) 000-0000.
4. Email
*
example@example.com
5. Availability
Please select the days you are available (check all that apply):
*
June 22, 2026: Day 1
June 23, 2026: Day 2
June 24, 2026: Day 3
June 25, 2026: Day 4
June 26, 2026: Day 5
Interpreter Role
*
Audience/Platform Interpreter
International Sign Interpreter
DeafBlind Interpreter
Student Interpreter
Other
Years of Interpreting Experience
0–3 years
4–7 years
8–15 years
15+ years
Conference Interpreting Experience
Extensive
Some
Limited
15+ years
What is your interest in interpreting at the conference?
Full-time (entire conference)
Half-time (part of the conference)
Volunteer
Interpreting Sample (Required). Please provide a video sample of your interpreting work (5–10 minutes recommended).
*
Resume / CV. Please upload your resume or CV highlighting interpreting experience, certifications, and conference work.
*
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9. Emergency Contact
First Name
Last Name
10. Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
11. Relationship
Entering your name below serves as your electronic signature.
12. By submitting this form, I confirm my interest in interpreting for DIC5. I understand that completing this form does not guarantee selection, and roles will be assigned based on availability and need.
*
Full Name
14. Date
-
Month
-
Day
Year
Date
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