Welcome to DYNAMIC LANGUAGE, language service provider

Prospective Interpreters Form

We are happy that you have considered collaborating with Dynamic Language. Please take time to complete the following form

First Name*
Last Name*
Email*
Phone
Upload a File	File(s) size limit is 20MB.
What languages are you able to provide interpreting services for?*
Please tell us about your experience working as an interpreter*
Are you Certified/Authorized for the following?*	DSHS Medical DSHS Social Services Bridging the Gap Other
If other, please specify
If you are ASL certified, what certifications do you hold?
Please provide one professional reference* Must be industry-specific and must include reference contact name, e-mail, and brief summary of the feedback the reference provided
Do you have or are willing to get the following immunizations?	Flu MMR Hepatitis B Tdap/Td Varicella/Shingles
Are you willing to get a TB test yearly?	-None- Yes No
Have you received or plan on receiving your flu shot for this year? Many of our medical clients require interpreters to receive an annual flu shot	-None- Yes No
Please indicate if you have experience providing legal interpreting services*	-None- Yes No
Please indicate whether you have experience with simultaneous interpreting*	-None- Yes No
Please indicate whether you have experience with conference interpreting*	-None- Yes No
What makes you want to collaborate with Dynamic Language?
LinkedIn Profile URL