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. Because this is a Deaf-centered space, we are prioritizing Deaf interpreters at this time. 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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