Community Interpreting Certificate Program Application Form

Application for Admission

Community Interpreting Certificate Program
Center for Interpretation and Translation Studies

University of Hawaii Manoa
Full Name*

First NameSurname
Enter the message as it's shown*
Preferred Name (if any)
Gender
(optional)
Email*
Phone Number*

Country CodeArea CodePhone Number
________________________
Please indicate the type of phone line
Other Phone Number

Country CodeArea CodePhone Number
Mailing Address*
Languages
Language A*
This is your strongest language
Please indicate your level of fluency in your LA*

nativenear-nativehigh fluencyadvancedintermediate
Please indicate if you can read and write in you LA*

YesNoSomewhat
Language B*
This is your strongest language
Please indicate your level of fluency in your LB *

nativenear-nativehigh fluencyadvancedintermediate
Please indicate if you can read and write in you LB*

YesNoSomewhat
Language C (additional language, if any)
Please indicate your level of fluency in your LC

nativenear-nativehigh fluencyadvancedintermediate
Please indicate if you can read and write in you LC

YesNoSomewhat
Please respond to the following questions with a short answer.
1. Briefly describe your language background.*
2. Do you have any experience in translating and/or interpreting? Please explain.*
3. Briefly explain the highest degree of education you have completed.*
4. Do you have any additional comments, or is there anything else that you would like us to know?
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Application for Admission