AOC 05/2016
ARKANSAS SUPREME COURT
A
DMINISTRATIVE
OFFICE OF THE
C
OURTS
COURT INTERPRETER S
ERV
IC
E
S
PERSON A L INFOR M ATION FO RM FOR AR KANS AS COURT INT ERPRETER S
APPLIC ATIO N
Complete this form in its entirety and return it to: Administrative Office of the Courts
625 Marshall Street | Justice Building
Little Rock, AR 72201
Attn: Court Interpreter Services
Name: _________________________________________________________________________
Last First Middle
Social Security Number: ________-_______-________ Date of Birth: ______/______/______
Mailing Address: __________________________________________________________________
___________________________________________________________________
Contact Telephone: __________________________________ Text?: (check one) Yes ☐ No ☐
Email Address: ____________________________________________________________________
Applicants must be 21 years of age.
Education: Attach documentation of graduation (copy of G.E.D. / High School Diploma / Post-Secondary Transcript)
Have you ever been convicted of a felony?.................................................................................. Yes ☐ No ☐
Have you ever been convicted of a misdemeanor? Other than a traffic violation?................ Yes ☐ No ☐
If yes to either question, please explain on a separate sheet and attach to this form.
Do you have a legal right to live and work in the U.S.? (check one)………………………… Yes ☐ No ☐
Are you currently employed by an Arkansas State Agency? (check one)…………………… Yes ☐ No ☐
If yes, which agency? ______________________________________________________________________________________
Language(s): ______________________________________________________________________________________________
Sign Language Interpreters Only: (Check one) Deaf ☐ Hearing ☐
Certification(s): _______________________________________
RID Membership ID # _________________________________
Please attach a current copy of your RID Membership Card.
Arkansas License # ____________________________________
I certify that all the information contained on this form is true and correct to the best of my information and belief.
_________________________________________________
Signature of Applicant
Enclose a recent passport
photograph of yourself.
click to sign
signature
click to edit
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