Phone: (210) 545-2946 | Pager: (866) 604-8090 | Fax: (210) 490-1006 | VideoPhone: 12.193.126.194

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Interpreter Pool Intake Form




DEAF INTERPRETER SERVICES, INC. (D.I.S.) is continually looking for qualified interpreters.  Please fill in the form below if you are interested in joining our interpreter pool. Contact Marilyn Weber at (210) 545-2946 for further information.

Interpreter Information :
Name
First Last
Street Address:
Address (Continue):
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Pager:
Email:


Certification Information :
Certified:  Yes No
Certification: RID     Type:
BEI     Level:Other
State Certified In:
Year Certified:
How Many Years Signing:
Interpreter Training Program: Yes No     
If Yes, Where:      
Address:      
City, State, Zip:      
Degree:  Yes No
If Degree: Type    Year 


Interpreting / Work History
Date :
Employer Info :
Salary:
Position:
Reason for Leaving
From:
To:
Name / Address / Phone (fill below)
(fill below)
(Fill Below)
(Fill Below)