Phone/Video Interpreter Questionnaire

Phone/Video Interpreter Questionnaire

First Name (Legal Name)*

Preferred Name (or nickname)

If you go by a name that is different than your legal name please include that here.

Last Name (Legal Name)*

Application Date*

Email Address*

Please provide your primary email address(es) to use for future communication with you.

Phone Number*

Please provide your primary phone number use for future communication with you.

Street Address*

City*

State*

Zip Code*

Country*

Are you a US Citizen or Permanent Resident?*

Please select a value as US or Other. If Other, please specify your country of citizenship.

Select

Are You Legally Authorized to Work in the US? (Typically Based on Citizenship Status or Having a Permanent Resident Card or Work Authorization)*

Typically, only Citizens and Permanent Resident Card holders are authorized to work in the US. (Proof of eligibility will be required before employment.)

Select

Are You at Least 18 Years or Older?*

This question is intended to determine if you meet the minimum legal age requirement to work in the US and Canada.

Select

Language(s) for Which You Are Applying?*

Please specify the main language(s)/dialect(s) for which you are applying.

Additional Language(s)/Dialect(s)

Please add any other language(s)/dialect(s) in which you are fluent and are able to apply, when needed.

What Is Your Highest Level of Education?*

Select

Years of Education in English*

Please list the total number of combined years of education received in English.

Do You Have Any Interpretation Experience?*

Select

Can You Read and Write in the Proposed Language?*

Select

Willing to provide Video Interpretation?*

Some video interpretation will be required, are you comfortable and willing to provide video interpretation support in addition to phone interpretation support?

Select or enter value

Are You Interested in Full-Time or Part-Time Work?*

Select

Are You Able to Work 40 Hours Per Week?*

Select

What Work Shift Are You Interested In?*

Select

Do You Prefer Working Weekdays or Weekends?*

Select

Are You Willing to Undergo a Background Check?*

A background check maybe required for consideration based on position type and location.

Select

Are you willing/able to work for 90 days?*

After being hired, will you be able to work 90 days (3 months) without interruption?

Select or enter value

Are You Willing to Take a Drug Test?*

A drug test maybe required for consideration based on position type and location.

Select

Upon Hire, Will You Have Access to Reliable High Speed Internet?*

Please select one option from the list below.

Select

Is the Hourly Rate Acceptable to You (varies by language)?*

Select or enter value

Describe Your Relevant Experience in These Areas:*

Please describe your interpretation experience in these fields and subject matter areas: - Legal: - Medical: - Financial: - Other (please specify):

Additional Notes for the Recruiter

Please provide additional notes and information you wish to share with the Recruiter regarding your language background, skills, work experience, etc.

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Please upload an updated copy of your resume or provide a letter of introduction.

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