Interpreter / Transliterator/C- Print Captionist Availability Form

SUMMER / FALL 2017
Name:
Your answer
Date:
Your answer
If you have any new (since last fall) contact information (e.g., address, phone number, e-mail) or updates on your certification, please list it here:
Your answer
Substitute List - would you like your phone number / e-mail address included on the interpreter substitute list (which will be passed out to other HCC interpreters)?
Intersession courses are all online
Required
Time availability for: SPRING 2015

Time (list specific hours)
Summer mornings (8:00 am to 12:00 pm)
Your answer
Summer afternoons (12:00 to 4:00 pm)
Your answer
Summer evenings (4:00 p.m. to 9:15 p.m.)
Your answer
Time availability for SPRING ; MONDAY JAN 26 THROUGH TUES MAY 12
Fall Days (check all that apply)
Required
Time (list specific hours)
Fall mornings (8:00 am to 12:00 pm)
Your answer
Fall afternoons (12:00 to 4:00 pm)
Your answer
Fall evenings (4:00 p.m. to 9:15 p.m.)
Your answer
Approximately how many hours per week would you like to work?
Your answer
(Time availability for Final Exams, will be requested toward the end of the semest.)
Additional Information;
Are you skilled in Oral transliteration, Signed English transliteration and/or American Sign Language interpretation ?
Your answer
Are you skilled in utilizing close range and/or tactile communication with Deaf-Blind consumers ?
Your answer
Are you skilled in C-Print Captioning for Deaf consumers ?
Your answer
General Preferences (Please answer the following to help us to make the best matches possible—no judgements made, just need to know compatibility)
For which subjects are you comfortable interpreting?
Your answer
Which subjects would you most like to avoid?
Your answer
Are there certain students/faculty with whom you feel well-matched?
Your answer
Are there certain students/faculty with whom you don't feel well-matched?
Your answer
If there is a situation that warrants teaming, are there other interpreters with whom you feel well-matched?
Your answer
Are there interpreters with whom you do not feel well-matched?
Your answer
Is there any other information that we might need to know to make interpreting situations as successful as possible?
Your answer
*** Please recall that assignments are offered on the basis of consumer preferences, certification and skill levels, type of situations, prior experiences, education and specialization, evaluations, availability and reliability. ***

Please complete this form by May 22, 2014. Thank you for your time in completing this!

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