Certification Commission for Healthcare Interpreters

Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Number ### - ### - ####
Current Occupation
Are you employed as an interpreter?
If yes, please specify your employer(s).
Do you provide interpreting as an independent contractor?
If yes, please provide us with the name(s) of the organization(s)/agency(ies) for which you work.
Educational Background
In what associations or organizations are you involved? Please list any leadership roles.
In what ways would you like to participate? (check all that apply)
Certification Test Development Committee Certification Test Item Writer Certification Test Item Reviewer Certification Pilot Test Participant
Tell us a little about your experiences in the field of healthcare interpreting (200 words or less).
Have you ever been involved in developing certification or competency tests for intepreting or translation? If so, please describe.
If you are an interpreter:
In what languages do you interpret?
Have you had any formal interpreter training? If so, please describe.
What is the primary setting in which you interpret (hospital, etc)?
What is the primary mode in which you intepret (in-person, telephonic, video, etc)?
Would you like to be added to our mailing list to receive monthly updates?
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