Today’s Date:     mm/dd/yy

Prefix:   

First Name:   

Middle Name:   

Last Names:    [required]

Company Name  [if applicable]:   

Home Address:   

Address2:   

City:   

State:                Zip Code:           
Country:   

County:    [PLEASE NOTE COUNTRY vs. COUNTY]

Email:    [required]

Website:   

Email 2:   

Home Phone:    Home Fax: 

Work Phone:    Work Fax:  [required]

CellPhone: 

Birth Country:    [required]

First Language:    [required]

Second Language:   

Third Language:   

Fourth Language:   

Fifth Language:   

Other Languages:  

Please list the countries you have lived in for more than 3 months [include City and Dates]:

Undergraduate [list School, Degree and Date]:

Graduate [list School, Degree and Date]:

Postgraduate [list School, Degree and Date]:

Are you qualified and interested in teaching? [click for yes]

Teaching Certification:

[Mark the check box if the answer is yes.]
Have you ever taught ESL?
Have you ever taught a foreign language (other than English)?
Have you ever taught one-on-one classes?
Have you ever taught groups?
Have you ever taught children?
Have you ever taught adults?

Please list teaching work experience [as on resume, with dates and companies/employers]:

[Mark the check box if the answer is yes.]
Have you ever been a Cross-Cultural Trainer?
Have you ever been a Diversity Trainer?
Have you ever done Cross-Cultural Business Training?

Please list your training work experience [as on resume, with dates and companies/employers]:

[Mark the check box if the answer is yes.]
Are you Qualified and Interested in Translating?
Do you provide proofreading and editing services?
Can you translate in PowerPoint?
Can you translate in Microsoft Excel?
Can you translate HTML files?
Can you create Adobe Acrobat files?
Can you translate in Quark?

Please click the boxes of the areas in which you have superior proficiency and experience:
Pharmaceutical    BioTech     Advertising     Healthcare

Please list your other translation area specializations:

Please list any translation certificates that you hold:

Are you ATA certified? [click for yes]  

Please list translation work experience [as on resume, with dates and companies/employers]:

[Mark the check box if the answer is yes.]
Are you Qualified and Interested in Interpreting?
Can you provide Consecutive Interpreting services?
Can you provide Simultaneous Interpreting services? 
Can you provide Escort Interpreting services?
Can you provide Phone Interpreting services?
Will you travel for interpreting assignments?

Please list interpretation work experience [as on resume, with dates and companies/employers]:

[Mark the check box if the answer is yes.]
Are you a New Jersey certified interpreter?
Are you a Federally certified interpreter?
Are you a member of AIIC?

Do you have any other interpreter certifications?

Please remember that AIA does in NO WAY make public or sell its email or mailing lists.  In an effort to abide with Anti-SPAM requirements, please help us to target your interests.

Please indicate what type of correspondence you are interested in receiving:

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AIA's Monthly Newsletter

delivered via email on the first of each month - with articles germane to the fields of international business, cross-cultural consulting and language training & translating

Help Wanted / Positions Available

delivered to consultants when positions become available

Special Discounts or Offerings

delivered via email when we reduce rates on materials or programs and trainings

Translation Service Announcements

information specific to aiaTranslations

New Service Offerings

delivered via email when AIA develops or launches a new service or training program, for example, our new Conflict Resolution Program

Thank you for your time!