Sendto:Emily Evans,Iowainternationalcenter

Interpreter &Translator

ApplicationForm

Sendto:Emily Evans,IowaInternationalCenter

EdnaM.GriffinBuilding,3197thStreet,Suite 200,DesMoines,IA 50309 | Phone: 515-282-8269,x16 | Fax: 515-282-0454

Date:

Mr. or

Ms./Mrs. (Prefix

Personal Information

Optional)FirstName: LastName:

Address:

HomePhone: Fax:

Cell Phone:E-mail:

Work Phone:

Listlanguage(s)anddialect(s)you areapplyingtointerpret/translateinto/outof,beginningwithyour nativelanguagefirst:

Current Employer:

Position:

Maywecontact youatwork?YesNo

CityCountryofBirth:

Citizenship:

Doyouhaveauthorization toworkin the USA?YesNo

Haveyoueverbeenconvictedofafelony?

(A convictionmaynotautomaticallydisqualifyanapplicant.)YesNo

Areyouat least 18yearsofage?YesNo

----LanguageProficiencySelf-Assessment----

Pleaselist yourlanguagesand selectthe one statementineachcategorythat bestdescribesyour proficiency:

Listlanguage(s)here:

----Interpreting/TranslatingExperience----

Describeyourinterpretingand/ortranslatingexperience:

Doyouhaveanyformaltrainingininterpretingand/ortranslating? Ifyes,pleasedescribe:

DYesil]No

Doyouhaveanyprofessionalaccreditationorcertificationforinterpretingortranslating?DYesllJNo

Ifyes,pleaselist:

Areyouinterestedinattendingtrainingprogramsforinterpretationand/ortranslation?ll]YesDNo

Pleaselistyourlanguages(otherthanEnglish),andforeachlanguage,selectevervanswerthatapplies:

Listlanguage(s)here(otherthanEnglish):

I I

I

I

I

Availability

InterpretationAssignments

Indicateyour preferencefor oral interpretationand/or writtentranslation work:

Bothoral interpretationand writtentranslationwork

Oral interpretationworkonlyWritten translationworkonly

Whichdays& hoursare youavailable tointerpret?

Doyouhave transportation?YesNo

Areyouwillingto travel?YesNoIfyes,WithincentralIowa?Statewide?Doyouhaveanyrateexpectationfor interpretationwork? $ per hour

TranslationAssignments

What computer programsdoyoufeel comfortableusingandhaveaccessto?

Doyouhaveanyrateexpectationfor written translation (perwordor page)?$per

VolunteerOpportunities

Areyouinterested inothervolunteeropportunitieswith theIowa International Center? Ifyes, pleasecheck eitherorbothoptionsthatinterest you:

PublicRelations/Media

(Promotion/outreach, developing marketingmaterials,enhancingtheIowaInternational Center website,etc.)

International Visitors

(Hostingvisitorsformealsinyourhome, hostingvisitorsovernight,drivingvisitorstoprofessional appointments, sharingprofessional expertisewithvisitors)

Wouldyouliketobeadded totheIowa International Center’semail list?YesNo

References

Listthreereferenceswhocanspeaktoyourpast interpretation/translationor other professional experience.Referencesshouldnot includefamilymembers.

Reference1:

Name:

Relationship toyou: Company/

Organization:

Address:

Phone:E-Mail:

Reference2:

Name:

Relationship toyou: Company/

Organization:

Address:

Phone:E-Mail:

Reference3:

Name:

Relationship toyou: Company/

Organization:

Address:

Phone:E-Mail: