RAD 2005 CONFERENCE
INTERPRETER DATA FORM
(July 19-23, 2005)


This form must be received by CMRA/RAD2005 Host Conference no later than June 1, 2005.

Full Name: ______________________________________________________________
(last) (first) (middle initial)

Address: ________________________________________________________________

________________________________________________________________
(city) (state) (zip code)

Fax: ___________________________________________________________________

Email: __________________________________________________________________

Current Certification(s): ____________________________________________________

Years of Interpreting: ______________________________________________________

Interpreting Strengths/Preferences
Check that all apply (Click below for printout form):

____ Delegate Meeting ____ Sign-to-Voice Only
____ Workshop ____ Mixed Sign-to-Voice/Voice-to-Sign
____ Exhibit ____ Tactile
____ Flamingo Ball ____ Close Vision
____ RAD Pageant ____ Oral
____ Banquet ____ Gestuno (International)
____ Exhibit ____ SSP
____ International Deaf Leather ____ International Deaf Bear Organization

                                            I prefer:
                                                           ____ to be compensated             ____ to volunteer my service
                                                           ____ a combination of compensation/volunteerism

Dates and times available to interpret during Conference week (include evening hours)

Tuesday, July 19            Time(s) (evening only) ______________________
Wednesday, July 20       Time(s): __________________________________
Thursday, July 21           Time(s): __________________________________
Friday, July 22                 Time(s): __________________________________
Saturday, July 23            Time(s): __________________________________
Interpreter Data Form 
Interpreter Data Form  

 

PLEASE FILL OUT THE FORM AND MAIL ASAP TO:
CMRA/RAD2005 HOST COMMITTEE
Attn: Interpreting Form
P.O. Box 44656
Washington, DC 20026-4656
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Revised: April 5th, 2005