Please tell us about yourself...

We appreciate you taking the time to complete this information. Your information will not be sold, rented, or released to anyone and you will not be added to our e-mail newsletter by completing this information. We thank you for your interest in joining this network of professionals. Someone will be in contact with you within 3 to 5 business days.

Important: This is not to be construed as an offer of employment.

My name is: * Title First Last Suffix
My e-mail address is: *
My home/work phone number is: - (###) - ### ####
My mobile phone number is: - (###) - ### ####
You may send a text message to my mobile phone number.
My videophone/IP address is:

If you do not have a videophone, then leave blank.
I provide video interpreting from my home office. I would like to learn more about providing video interpreting from my home office.
My mailing address is:
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

This is the address where we should send any mail to, including your pay.
I hold the below certification(s): * CI CT CSC MCSC SC:L CDI NIC Master NIC Advanced NIC NAD III NAD IV NAD V Ed: K-12 Other (i.e. state QA) Licensure (if required in your state) OTC OIC:C OIC:S/V OIC:V/S IC TC
This is not meant to be an exhaustive list. You may hold a certification that is not listed here by chance. Please include it on your resume or in the notes section, we would like to give you credit for it if possible. If you are not certified, then leave blank.
Here is my resume:

Adobe PDF or Microsoft Word format preferred. If you need to send by e-mail, please send to daryl.crouse@signlanguageinterpreters.com.
Here is a copy of my certification(s):

Adobe PDF or Microsoft Word format preferred. If you need to send by e-mail, please send to daryl.crouse@signlanguageinterpreters.com.
My cancellation policy is: *

This is a good place to describe your expectation of payment when an appointment is canceled by the client. If a consumer does not show for an appointment you will be paid for the appointment.
Monday through Friday 8:00 AM to 5:00 PM I charge: * $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point.
Monday through Friday 5:00 PM to 8:00 AM (After Hours) I charge: $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point.
Saturday and Sunday I charge: $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point.
Federal and state holidays I charge: $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point.
For same day or next day appointments I charge: $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point.
Interpreting in specialist content areas (i.e., legal) or Skills (i.e., tactial) I charge: $ . Dollars Cents
We understand there may be two hour minimum times, etc. This is general information at this point. If you do not interpret in these specialist areas then leave this blank.
For travel time over and above a reasonable commute I charge: $ . Dollars Cents
A "reasonable commute" is defined by reference to the most recent Census Bureau, American Community Survey. More information, including a state by state breakdown can be found in the FAQ section of this website.
I am reimbursed for: mileage parking/tolls travel expenses (i.e. flight, hotel, meals)
Mileage is reimbursed at the current GSA Privately Owned Vehicle (POV) Mileage Reimbursement Rate. Travel outside of your home area will typically include a standard per diem. The per diem is defined by reference to the current fiscal year GSA published per diem reimbursement for the Continental United States (CONUS).
Other important information about my rates:

This is a great place to let us know about any other variations or local standards that are expected in terms of pay, teaming, etc.
I am generally available and accept appointments for: Monday during the day Monday evening after 5 p.m. Tuesday during the day Tuesday evening after 5 p.m. Wednesday during the day Wednesday evening after 5 p.m. Thursday during the day Thursday evening after 5 p.m. Friday during the day Friday evening after 5 p.m. Saturday during the day Saturday evening after 5 p.m. Sunday during the day Sunday evening after 5 p.m. Federal and state holidays Late night emergencies (i.e. ER at 1 a.m.) Last minute appointments (i.e. in 2 hours)
We understand that you may not always be available on these days and times. This will help us respect your off duty time by making sure we do not contact you about appointments occurring during a time frame when you are not generally available.
I would also like to share with you:

This is a great place for any information that is not covered already.
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