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Interested in Providing Accessibility Service with CSD?

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Personal Information

Name*

First Last

What are your preferred pronouns?*

She/Her

They/Them

He/His

Other

What do you prefer being called?

Ethnicity*

Email*

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Phone*

Address*

City State / Province / Region Country

Professional Information

What services are you interested in providing?*

Please select all that applies:

Interpreter

CART

Captioning

Voiceover

Other

Other Service Provider*

Interpreter Service*

ASL

Deaf

Trilingual (sign language)

Pro-tactile

Other

Other Interpreter Service*

Do you hold a current professional interpreter license or certification?*

Yes

No

Please list your current professional interpreter license or certification:*

Examples: NIC, BEI Advanced. If none, please enter 'none'

Do you speak in other language(s) besides English?*

Yes

No

Please list what other language(s) you are fluent in*

Do you Sign in other language(s) besides ASL*

Yes

No

Please list what other language(s) you are fluent in signing*

What is your field of expertise?*

Please select all that applies to you.

Medical

Legal

Information Technology

Education

Business

Other

Other fields of expertise:

Service Rates

Virtual General Rate*

Dollar amount only

Virtual Emergency Rate*

Dollar amount only

Virtual Overnight Rate*

Dollar amount only

Virtual Other Language Rate*

Dollar amount only

Onsite Rate*

Dollar amount only

Onsite Mileage Rate*

Dollar amount only

What are your available hours to work for CSD?*

Please list the timezones as well.

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What is your asking rate for your service?*

Attach LinkedIn Profile URL (optional)

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Confirmation

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Confirmation*

I understand that CSD is not an agency and there is no guarantee of the availability of work.

Consent

I understand that CSD is not an agency and there is no guarantee of the availability of work.

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Comments

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