2025 40-hour Bridging the Gap Application Form

BRIDGING THE GAP 40-hour Medical Interpreter Training Program

APPLICATION INFORMATION 2025
Bridging the Gap 40-hour Medical Interpreter Training

APPLICATION FORM

Course Tuition Fee $675

Language Proficiency Assessment $75, per language, non-refundable
Session Dates *
Name*

First NameLast Name
Occupation (if self-employed or seeking employment, please indicate here):
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Primary Language*
Second Language*
Third Language (if applicable)
How did you hear about our training?*
Copy of high school diploma, GED, or university/college degree *

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Please write the language for your bilingual medical glossary:
If it is not available in your language, you will receive an English – English medical glossary.
ORAL PROFICIENCY:

ENGLISH

Proof of language proficiency of any one of the following documents:
- High School Diploma/ GED, Bachelors, Masters, Ph.D. or any other degree from any US institution or from an American School abroad.
- Oral language proficiency results with scores equivalent to ACTFL Advanced Mid-level or ILR Level 2; Through ALTA, the score must be a 9 or higher is required for admission
OTHER LANGUAGE

Proof of language proficiency of any one of the following documents:
- High School Diploma, Bachelors, Masters, Ph.D. or any other degree with instruction conducted entirely in the assessed language
- Oral language proficiency results with scores equivalent to ACTFL Advanced Mid-level or ILR Level 2; Through ALTA, the score must be a 9 or higher is required for admission
If you don’t have proof of language proficiency, you will need to take an over-the-phone language assessment. The assessment is scored on a scale of 1-12, and a 9 or higher is required as admission into this course. The language assessment costs $75 per language and non refundable. We require payment in advance before scheduling for the assessment.

Email erhapuspitadavis@auroramhr.org to schedule a language assessment.
Proof of language proficiency (English):

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Proof of language proficiency (Other Language):

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By signing below, I hereby acknowledge that I have read, understand and agree to the terms.*

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IMPORTANT NOTES
- Application, proof of language proficiency in English and one other language, and payment must be submitted prior to the deadline to guarantee enrollment in the training session you intend to apply.
- This application does not include payment. After submitting your application, use the link below to pay online. Select 'Provider: CLAN' and skip the Client ID and Date of Birth fields.
Use the following link to make an online payment:

https://www.coloradolanguageconnection.org/online-bill-pay
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BRIDGING THE GAP 40-hour Medical Interpreter Training Program