PI-PLSP-TRANSUPP (04/10) Page 1 of 3
COVER-PRO
SM
APPLICATION
TRANSLATOR, INTERPRETER SUPPLEMENT
1. Full name of the Applicant Firm:
2. What percentage of the Applicant’s gross annual revenues are derived from:
Translation services: %
Interpreter services: %
How many years has the Applicant been translating / interpreting: years
3. What types of translation/interpretation services does the Applicant perform?
Judiciary interpretation/translation
Medical interpretation/translation
Sign language translation
Conference interpretation
Guide or escort interpretation
Literary translation
Localization translation
General business interpretation/translation
Contract interpretation/translation
Architecture or Engineering interpretation/translation
Financial interpretation/translation
Education interpretation/translation
Entertainment interpretation/translation
Other (specify):
4. Does the Applicant perform simultaneous interpretation? Yes No
If yes, does the Applicant work with a partner?
Yes No
If yes, what experience does the Applicant have on the subject requiring
interpretation?
5. Please list all job specific training programs or job specific exams successfully
completed.
6. Please list any federal, state or municipal court certifications as well as any association
certifications/credentials the Applicant currently holds.
7. Is the Applicant a member of any national associations? Yes No
If yes, provide a list of all memberships.