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Interpreter Interest Form
Humanitarian Outreach for Migrant Emotional Health (H.O.M.E.)
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What is your full name?  (And what do you prefer to be called?) *
Email Address *
Primary Phone Number *
Secondary Phone Number, WhatsApp, or other contact
Mailing Address
Languages in which you are fluent for oral interpretation (native fluency preferred): *
Please list any interpretation experience, training, or certification. *
Please list any health or mental health training or experience (interpreting or other).   *
What is your availability?
I affirm that the above is accurate to the best of my knowledge. I understand that services I provide  through H.O.M.E. are confidential and extremely sensitive.  I will provide accurate interpretation to the best of my ability, and I will protect confidential information as required by HIPAA and ethical interpretation practices. *
How did you learn about H.O.M.E.?
What would you like us to know about your motivation to help with this work?
Electronic Signature - By typing my name below I agree that I am electronically signing this document.
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