INTERPRETER INTEREST FORM

Thank you for your interest in joining the NYC Community Interpreter Bank! Please complete the following form to help us assess your qualifications and match you with interpretation opportunities

Section 1: Personal Information

First Name

Last Name

Email

Phone

Borough

Zip Code

District

To find your NYC District, click here: https://council.nyc.gov/map-widget/

Country of Origin

How did you hear about the NYC Community Interpreter Bank?

Referral Type (Other)

Have you successfully completed any interpretation training in the past?

Section 2: Language Proficiency

Do you speak English?

What is your proficiency level in English?

Highest Level of Education Completed In English

What is your primary language for interpretation?

What is your proficiency level in this language?

Highest Level of Education Completed in this language

Do you speak any other languages you would like us to know about?

Other Languages You Speak

Have you taken any language proficiency tests? (If yes please specify in other. Ex: Parrot Language Assessment, ACTFL )

Proficiency Test Score

Proficiency Test Name

Year Taken

Do you have previous experience as an interpreter?

If yes, in which settings have you provided interpretation? (Check all that apply)

Healthcare (Hospitals, Clinics)Legal (Courtrooms, Immigration Services)Social Services (Community Centers, Nonprofits)Educational (Schools, Universities)Business/CorporateOther (please specify)

Other

Section 3: Interest & Availability

Beyond the 40-hour training, which additional track are you interested in pursuing? (Select all that apply)

Medical (Interpretation skills for healthcare settings, including terminology and protocols for clinics, hospitals, and patient care.)Legal (Interpretation skills for legal settings, including basic legal terminology, confidentiality, and courtroom procedures.)None

What is your general availability for training? (Check all that apply)

Weekdays (Morning)Weekdays (Afternoon)Weekdays (Evening)Weekends

Why are you interested in becoming a community interpreter?

Do you have any additional skills or experience that would support your role as an interpreter? (If not put N/A)

INTERPRETER INTEREST FORM

Section 4: Experience