Vous êtes sur la page 1sur 3

2012 Community Interpreter Training Application

Todays Date: First Name: Home Address: Employer: Telephone Numbers: Home: E-mail address: Native Language: Other Languages: Type of Interpreter training: (if applicable) Where: When: Number of hours of training : Type of interpreter certification: Work: Cell: Last Name:

Name & Phone Number of Emergency Contact Person: Please review training cost information on the following page and select one of the following: I will pay for the training fees myself My employer will pay for the training Resume: Please email your resume to rcarrillo@mcsdc.org . Application Fee: $50. The application fee is not refundable. Application Deadline: June 12th, 2012
The Multicultural Community Service (MCS) is a non-profit organization that encourages, promotes and facilitates broad and inclusive civic participation. Founded in 1997, MCSs key programs include Language Services and Parental Involvement.

Interpreter Training Fees

Cost The CIT fee is $950.00 if you complete application and registration which includes complete phone interview and proficiency test (it takes 10 to 15 business days to complete this process) no later than June 22, 2012; and $1,000 if you register after June 22, 2012. Processing of Training Fees Payment in the form of a check made payable to Multicultural Community Service or by credit card is due with your application. Please note that checks will not be cashed and credit cards will not be processed until July 12, 2012. MCS reserves the right to cancel the class if an insufficient number of people enroll. If the class is canceled and you made your payment by check, your check will be returned to you. If you provided a credit card number to secure your spot in the class and the class is cancelled, your credit card will not be charged.
YOU MUST BE PROFICIENT IN YOUR TARGET LANGUAGE (S) Language Proficiency test: a requirement: All participants have the option to take: The certified language proficiency test from Language Testing International (LTI) for an additional cost payable directly to LTI. More information about this will be provided once MCS receives your application. Or The MCS language proficiency test, the cost of this test is included in the application fee.

Cancellation Policy This cancellation policy applies to all applicants: Before June 4, 2012 90% refund June 5, 2012 to June12, 2012 75% refund June 12, 2012 to June 25 2012 50% refund After June 25, 2012 No Refunds

2012 Community Interpreter Training Application Fee Payment Form

First Name: Telephone Numbers: Home: Last Name: Work: Cell:

Application Fee $50.00 Optional: Tax-deductible contribution to support the language services work of the Multicultural Community Service, a non-profit organization. Thank you for your consideration. Total

Enclosed, please find my: Check (payable to Multicultural Community Service) Please charge my: Name on Card: Expiration Date: Card Number: Signature: Billing address and Zip code: Visa MasterCard


Money Order

American Express

Please send your completed application and application fee to Multicultural Community Service, attention: Rosa Carrillo. Mail: Multicultural Community Service, 2437 15th Street, NW, Washington, D.C., 20009 Email: rcarrillo@mcsdc.org For more information, please call Rosa Carrillo at 202-299-9477.