APPLICATION FORM

MINNESOTA INTERPRETERS AND TRANSLATORS

Legal Name:

Date of Birth:

MN Dept of Health ID #:

Sex:

Male
Female

Native/Fluent Languages:

Years Interpreted (check one):

<2 years
2-5 years
5-10 years
10+ years

I have a valid driver’s license:

Yes
No

If yes, license number:

City:

State:

Zip Code:

Email Address (Gmail preferred):

Phone number:

Check all in which you have 2+ years of interpreting experience:

Minnesota Interpreters and Translators Credentials Form

Check all completed education:

Highschool DIploma
Bachelor's Degree, Major
Associate Degree, Major
Graduate Degree,. Specify

Bachelor’s Degree, Major:

Associate Degree, Major:

Graduate Degree, Specify:

Availability

Time

:

Main Agencies/Companies Interpreted:

Select all certifications you have completed:

40-Hour
Medical
ATA
Legal
Other
Continued Education

Topic:

# Credit Hours:

Year:

Topic:

# Credit Hours:

Year:

Please SUBMIT the following to assistant@mintlanguages.com

Resume/CV
40-Hour
Certificate
Mantoux
Immunization Records
CE Credits, Other Certificates, or Awards

Note: Minnesota Interpreters and Translators reserves the right to give appointment priority to interpreters who have submitted all documents. Once all documents have been submitted, you will be eligible to participant in a unique Minnesota Interpreters and Translators training

I

, hereby authorize Minnesota Interpreters and Translators to run a background check for quality assurance purposes. By signing below, I certify that all the information provided is correct to the best of my ability.

Signature

Max. file size: 120 MB.

Date

CAPTCHA

Application Form

MINNESOTA INTERPRETERS AND TRANSLATORS

Minnesota Interpreters and Translators Credentials Form