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EIS Interpreter Questionnaire

Please fill out the following information. Leave any fields blank that are not applicable to  you.
Full Name
  
NIC/ RID/ NAD Certification:
(Please specify "NAD IV", CI, NIC etc.)
Other Certification (ACCI, State Certification etc)
Are you a current member of RID?
Membership Category (Certified, Associate, Student etc.)
Expiration date on RID membership card
If not yet certified, have you passed the RID CI/CT written exam?
Have you taken and passed the NIC written exam?
What year did you start interpreting professionally?
Name of program or institution where you received training to become an interpreter
Post secondary degree(s) earned
Major /Minor
If you have taken the EIPA Performance Exam answer the next three questions: 
EIPA Primary (Elementary Level) Performance Score
EIPA Secondary (High School) Performance Score
Have you passed the EIPA written exam?
  
Please choose from the drop down menus to the right as to your preferences for work settings you would like EIS to consider contacting you for.

 

 

 

 

 

 

 

 

 

 

 

Community:

K-12:

Post Secondary

Medical:

Mental Health

Developmentally Disabled Deaf

Legal

Are there any settings not mentioned you prefer to work in ?

Tell us about your general availability for work. Please write a short description of the months, days of the week or other time period you are generally available. Please include both your summer plans and your plans for Fall 2008.
Birthday
(We don't need to know your age. Month and day is fine).
Password
We have a way for you to update availability and look at job information on line. We need a password from 4 to 8 characters that will be easy for you to remember. Enter it here if you would like one. (We will send a confirmation of how to use the system within a week or two).
Comments
Add notes about anything you would like to add or clarify.
Home or work phone number
Cell phone number
E mail address
Pager / text messaging device
Mailing Address


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