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Name

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Gender

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How did you first learn Sign Language?

Which ITP did you attend?

What is your favorite type of interpreting assignment?

Do you currently hold any certifications? If so, which ones?

Working on it CI (Certificate of Interpretation) CT (Certificate of Transliteration) CDI-P (Certified Deaf Interpreter-Provisional) CDI (Certified Deaf Interpreter) CSC (Comprehensive Skills Certificate) MCSC (Master Comprehensive Skills Certificate) RSC (Reverse Skills Certificate) OTC (Oral Transliteration Certificate) OIC:C (Oral Interpreting Certificate: Comprehensive) OIC:S/V (Oral Interpreting Certificate: Spoken to Visible) IC (Interpretation Certificate) TC (Transliteration Certificate) NAD III (Generalist) NAD IV (Advanced) NAD V (Master) NIC NIC Advanced NIC Master EIPA Level 1 EIPA Level 2 EIPA Level 3 EIPA Level 4 EIPA Level 5 State or Local QA Other not listed

Would you like to mentor another interpreter?

YesNoMaybe

Would you like to be mentored by another interpreter?

YesNoMaybe

City

State

ALASKAALABAMAARKANSASAMERICAN SAMOAARIZONACALIFORNIACOLORADOCONNECTICUTDISTRICT OF COLUMBIA "WASHINGTON DC"DELAWAREFLORIDAFEDERATED STATES OF MICRONESIAGEORGIAGUAMHAWAIIIOWAIDAHOILLINOISINDIANAKANSASKENTUCKYLOUISIANAMASSACHUSETTSMARYLANDMAINEMARSHALL ISLANDSMICHIGANMINNESOTAMISSOURINORTHERN MARIANA ISLANDSMISSISSIPPIMONTANANORTH CAROLINANORTH DAKOTANEBRASKANEW HAMPSHIRENEW JERSEYNEW MEXICONEVADANEW YORKOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICOPALAURHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVIRGINIAVIRGIN ISLANDSVERMONTWASHINGTONWISCONSINWEST VIRGINIAWYOMING

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