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Information & Self-Assessment Packet Personal Information First Name Last Name Address Phone Email Address Language Information Native Language Additional Languages Additional Information Do you have authorization to work in the USA? Yes No ** Please do not continue if you selected No above ** Highest level of education completed School Major Additional education, if applicable Recommendations (List name(s), agency, and contact information) Are you willing to travel to/with in North Dakota? Yes No Maximum distance willing to travel Language Proficiency Self-Assessment (Please mark all that apply to you) Listening Comprehension 1. I can understand the following languages English Spanish German Arabic Somali Other Please list any other languages 2. I can understand most conversations, but may struggle at times with specialized subjects? Yes No If yes, which language(s) 3. I understand enough to meet basic daily needs, but may have to ask people to speak slowly or repeat themselves? Yes No If yes, which language(s): Speaking Ability 1. I can speak well enough to meet basic daily needs. English Spanish German Arabic Somali Other Please list any other languages 2. I can discuss many subjects, but sometimes have trouble finding the right word to use. English Spanish German Arabic Somali Other Please list any other languages: 3. I have a strong knowledge of speech and a wide vocabulary. English Spanish German Arabic Somali Other Please list any other languages 4. I am able to speak fluent. English Spanish German Arabic Somali Other Please list any other languages Reading Comprehension 1. I can read only basic printed material, such as simple signs or messages. English Spanish German Arabic Somali Other Please list any other languages 2. I am able to read and understand most printed material, but may have to rely on a dictionary at times. English Spanish German Arabic Somali Other Please list any other languages 3. I read fluent. English Spanish German Arabic Somali Other Please list any other languages Interpreting / Translating Experience 1. Describe your interpreting experience 2. Describe your translating experience 3. Do you have any formal training in interpreting? Yes No If yes, please describe 4. Do you have any formal training in translating? Yes No If yes, please describe 5. Do you have any professional accreditation or certification for interpreting? Yes No If yes, please list 6. Do you have any professional accreditation or certification for translating? Yes No If yes, please list Interpretation Indicate your preference for oral interpretation and/or written translation work: Both oral interpretation and written translation work Oral interpretation work only Written translation work only Which types of interpreting do you feel comfortable to do? Consecutive – waiting for the speaker to finish, and then beginning to interpret Simultaneous – interpreting at the same time a speaker is talking; may involve equipment Sight translation – translating a written document out loud Please list the type along with the language you are comfortable in What subject areas do you have experience/training to interpret or translate in and list the language - may have multiple? Medical Legal/Court Human Services Education Business Technical/Scientific Agriculture Do you have qualifications or experience in translating a written document into a certain language? Yes No If yes, please state the language(s) Do you have qualifications or experience to translate a written document from the above language into English? Yes No Submit
