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#22-003465-0003
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Do you possess six months experience providing formal interpretation and translation services between English and a second language? Formal interpretation services may include documented work as a volunteer interpreter for a non-profit, human service or faith-based organization.

Yes No
2

If you responded YES to the above question, please describe your experience providing formal interpretation and translation services between English and a second language.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

3

Explain your experience providing bilingual Spanish services to customers. Please include name of employer, job title, dates of employment, and hours worked per week. If you do not have this type of experience, please write N/A


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