Interpretertranslator Applicationform

Date:

InterpreterTranslator ApplicationForm

Sendto:Emily Evans, IowaInternational Center

Edna M. Griffin Building, 3197thStreet, Suite 200, Des Moines, IA 50309

|Phone: 515-282-8269, x16 |Fax: 515-282-0454

PersonalInformation

Mr.or

Ms./Mrs.FirstName:LastName: Address:

HomePhone:Fax:

CellPhone:E-mail:

WorkPhone:

Listyourlanguage(s)anddialect(s),withyournativelanguagefirst:

CurrentEmployer:Position:

Maywecontactyouatwork?YesNo

CityCountryofBirth:DateofBirth: Citizenship:

Highestlevelofeducationcompleted:

YearofGraduation:

School:Major:

AdditionalEducation,ifapplicable:

LanguageProficiencySelf-Assessment

Pleaselistyourlanguagesandselecttheonestatementineachcategorythatbestdescribesyourproficiency:

List language(s) here:

Listening Comprehension

ENGLISH

1)I understandenoughtomeetbasicdailyneeds, but often have to ask people to speakmoreslowlyorrepeatthemselves.

2)I canunderstandmostconversations,butsometimeshave to askpeople to speak moreslowly or repeatthemselves.

3)I canunderstandalmosteverythingthatissaid, but stillstruggle a bit with veryspecializedsubjects.

4)I have the comprehensionof an educatednative.

Speaking Ability

1)I can speak well enough to meet basicdailyneeds.

2)I can discuss many subjects, but sometimeshave trouble finding the right word to use.

3)I have a strongcommandof colloquial(informal)speechand havea wide vocabulary.

4)I amabletospeaklikeaneducatednative.

Reading Comprehension

1)I canreadonlybasicprintedmaterial,suchassimple signs ormessages.

2)I amabletoreadandunderstand a lotofprintedmaterial,butstillhavetorelyon adictionary often.

3)I amabletoreadnearlyallmaterial,aslongasitisnottootechnical.

4)I have the readingability of an educatednative.

Writing Ability

1)I am able to write simplemessagesonly.

2)I amabletowriteonmany subjectsaslongasI have a dictionary.

3)I am able to write nearly everything I want to,aslongasitisnottootechnical.

4)I havethewritingability ofan educated native.

Interpreting/TranslatingExperience

Describeyourinterpretingand/ortranslatingexperience:

Doyouhaveanyformaltrainingininterpretingand/ortranslating?YesNoIfyes,pleasedescribe:

Doyouhaveanyprofessionalaccreditationorcertificationforinterpretingortranslating?YesNoIfyes,pleaselist:

Areyouinterestedinattendingtrainingprogramsforinterpretationand/ortranslation?YesNo

Pleaselistyourlanguages(otherthanEnglish),andforeachlanguage,selecteveryanswerthatapplies:

List language(s) here (otherthan English):

Availability

InterpretationAssignments

Indicateyourpreferencefororalinterpretationand/orwrittentranslationwork:

Bothoralinterpretationandwrittentranslationwork

OralinterpretationworkonlyWrittentranslationworkonly

Whichdayshoursareyouavailabletointerpret?

Doyouhavetransportation?YesNo

Areyouwillingtotravel?YesNoIfyes,WithincentralIowa?Statewide?Doyouhaveanyrateexpectationforinterpretationwork? $ perhour

TranslationAssignments

Whatcomputerprogramsdoyoufeelcomfortableusingandhaveaccessto?

Doyouhaveanyrateexpectationforwrittentranslation(perwordorpage)?$per

VolunteerOpportunities

Wouldyoubewillingtoactinavolunteercapacityandprovideemergencyvolunteerinterpretation/translationservicesforthecommunity?Anemergencymayoccurona24/7basis.

Byphone? / Yes / No
Inperson? / Yes / No

Ifyes,intheDesMoinesareaonly?YesNoStatewide?YesNo

AreyouinterestedinothervolunteeropportunitieswiththeIowaInternationalCenter?Ifyes,pleasecheckeitherorbothoptionsthatinterestyou:

PublicRelations/Media

(Promotion/outreach,developingmarketingmaterials,enhancingtheIowaInternationalCenterwebsite,etc.)

InternationalVisitors

(Hostingvisitorsformealsinyourhome,hostingvisitorsovernight,drivingvisitorstoprofessionalappointments,sharingprofessionalexpertisewithvisitors)

WouldyouliketobeaddedtotheIowaInternationalCenter’semaillist?YesNo

References

Listthreereferenceswhocanspeaktoyourpastinterpretation/translationorotherprofessionalexperience.

Reference1:
Name:
Relationshiptoyou:
Company/Organization:
Address:
Phone: / E-Mail:
Reference2:
Name:
Relationshiptoyou:
Company/Organization:
Address:
Phone: / E-Mail:
Reference3:
Name:
Relationshiptoyou:
Company/Organization:
Address:
Phone: / E-Mail: