NAME:________________________________________________ DATE: _____________ COUGAR ID # :
_______________________ Birthdate __________________________
ADDRESS: __________________________________________________________________________
E-MAIL ADDRESS: _____________________________________ PHONE NUMBER________________ PROGRAM NOTES &
Carefully read each item and ask for clarification as necessary.
1) A minimum 320-hour, non-paid, practicum experience is required during the last two semesters of the Interpreter Education Program.
Students may not enroll in practicum until all first through third semester courses, as per the Plan of Study, are completed. Practicum hours beyond
regular weekday hours may not be available.
SETTING are eligible to apply for Hearing Impaired Interpreter Licensure from the Ohio Department of Education. This practicum requires day-
time availability.
3) Majors must enroll in a minimum of two to three designated Interpreting courses each semester
In order to maintain status as a major. You must have completed or be in the process of completing ALL courses according to the Plan of Study to
enroll in practicum courses – IEP 2901, 2902, 2903. If a student leaves the program and wants to return, they must attend a new Mandatory
Information Session to re-apply, and follow the Plan of Study for the new admission year. To re-enter the program, students may be required to take
ASL and/or Interpreting skills placement tests.
4) All Interpreting Major courses require a grade of “C” or higher to continue to the next level of study, keep major status, and serve as
fulfilling graduation requirements. Practicum courses IEP 2901, 2902, and 2903 require a grade of “B” or higher to move to the next level of courses
and to fulfill graduation requirements. See syllabi for more info.
5) Many Interpreting Major courses are only available once a year. Failure to earn the minimum required grades in prerequisite courses,
and/or not taking a course when offered may delay graduation, and affect major status.
6) I understand that in order to enroll in the first semester of IEP AAS degree courses, I must be at least 18 years old, and a High School
graduate or have the equivalent GED.
7) I understand that in order to enroll in my first practicum course (IEP 2901 or IEP 2903), I must first take the EEP (Entrance Exam for
Practicum) and receive a score of 83% or higher.
8) I have read the Release Agreement regarding being video and audio taped in Interpreter Education Program courses.
9) I have read, and agree to abide by the Privacy and Social Media Guidelines and CSCC Interpreter Education Program Student Code of
Professional Conduct attached.
10) I have read the Essential Functions for Interpreter Education Program Students; and verify that I meet these minimum requirements.
11) It is the responsibility of the student to keep all personal information current with the CSCC registrar’s office.
12) I will respect and honor the privacy of all classmates, faculty and staff as it relates to sharing information, social networking, and all other
forms of communication; and to be honest and truthful with faculty and staff.
13) I understand that in order to be successful in the Interpreter Education Program, I will be required to invest hours outside of the classroom
interacting with the Deaf community.
I have read, understood, and accept the stipulations of PROGRAM NOTES AND AGREEMENTS, listed on this page. All information provided
on this form is, to my knowledge, true and accurate.
Signature _________________________________________ Date ______________
NAME: ________________________________ Cougar ID Number ____________________
Please answer each of the following questions honestly and thoroughly.
1. Do you have college experience? YES NO
If you answered YES, answer the additional questions.
A. Have you successfully completed a Master’s program? YES NO
Name of college_______________________ Date completed_____________
Degree ______________________________ Overall GPA _________
B. Have you successfully completed in a Bachelors program. YES NO
Name of college_______________________ Date completed/expected_____________
Degree ______________________________ Overall GPA _________
C. Have you successfully completed an Associate program? YES NO
Name of college_______________________ Date completed_____________
Degree ______________________________ Overall GPA _________
D. Have you successfully completed college English and/or Math courses, but not yet completed a
program? YES NO
Name of college(s) ________________________________________________
Courses completed ________________________________________________
Dates attended _______________________ Overall GPA ___________
E. Have you submitted ALL college transcripts to CSCC’s registrar? YES NO
2. Have you graduated from high school or completed your GED? YES NO
If you answered NO, when do you anticipate graduation? ____________________
Name of high school _________________________________________________
3. Presently, are you a current student at CSCC? YES NO
If you answered YES, answer the following questions.
A. What class(es) are you currently enrolled in? _______________________________
B. What have you declared as your major? __________________________________
4. Do you have “sign language”/ASL experience? YES NO
If you answered YES, answer the following questions.
My experience with sign language is by way: (check and complete all that apply)
Deaf family members – their relationship to you is _____________________
______Deaf friends/co-workers for _____________________ years
Community sign language course taken at ____________________________
Formal college level sign language course at __________________________
Have you taken an ASL Placement Exam at CSCC? YES NO
If you answered YES, what ASL course did you place? ______________
5. Have you taken any ASL courses at CSCC? YES NO
If you answered YES, complete the following:
Circle all the ASL courses you are in now or have completed at CSCC.
IEP 1101 Beginning ASL IEP 1102 Intermediate ASL IEP 1103 Advanced ASL
6. Have you taken the Compass Test at CSCC? YES NO
If you answered YES, list the English, reading, and math courses the counselor suggested you take.
English ______________ Math _________________ Reading ______________
If you answered NO, please check the following:
_______I am excused from taking the Compass Test by virtue of my college degree(s).
_______I plan to take the Compass Test on _________________________________.
7. I will be available to participate in extracurricular activities and assignments during my ASL and IEP courses.
8. My goal is to begin the sequence of interpreting courses during the fall of _________________.
Columbus State Community College
Interpreter Education Program
Student Code of Professional Conduct (S-CPC)
Tenet: Students adhere to professional standards of confidential communication.
Guiding Principle: Interpreters hold a position of trust in their role as linguistic and cultural facilitators of communication. Students
will maintain confidentiality about professional activities and classroom communication.
Illustrative behaviors for students:
1.1 Honor commitments to keep information in confidence.
1.2 Do not share personal or private information from classroom discussions with others.
1.3 Do not share details of professional activities (e.g., observations, mentoring, interpreting, and other required activities) outside
of their respective environments. Specifically, do not share information regarding professional activities via: text messaging,
email, third-party conversations, and postings to social media.
Tenet: Students possess the professional skills and knowledge required for academic and interpreting situations.
Guiding Principle: Interpreters should expect to stay current with language use, cultural norms, and changes in the profession of
interpreting and be able to apply this knowledge in their work. Students must also be actively engaged in learning and adhere to the
ethical and professional standards of the interpreting community and the Interpreter Education Program.
Illustrative behaviors for students:
2.1 Adhere to educational commitments by attending classes, being punctual, and being prepared for active learning.
2.2 Demonstrate ability to work within a professional context by adhering to institutional norms and expectations, and by showing
respect to others (e.g., faculty, staff, student peers, Deaf community members, and professional interpreters).
2.3 Abide by linguistic, social, and ethical norms when interacting with interpreters, members of the Deaf community, and other
2.4 Seek further knowledge about aspects of Deaf culture.
2.5 Stay abreast of past and current empirical research in Interpretation Studies related disciplines.
2.6 Abide by national and international codes of conduct established by professional interpreting associations.
Tenet: Students conduct themselves in a manner appropriate to specific situations.
Guiding Principle: Students should expect to present themselves appropriately in demeanor and appearance. Further, students avoid
situations that result in conflicting roles or perceived and/or actual conflicts of interest.
Illustrative behaviors for students:
3.1 Convey an attitude of respect for the capabilities and worth of others, in both verbal and non-verbal communication.
3.2 Refrain from rejecting or minimizing the capabilities and worth of others or attempt to impose your views and values on
3.3 Respect differences among individuals.
3.4 Demonstrate sensitivity to the feelings and opinions of others.
3.5 Convey openness to those who have backgrounds that are different from your own.
3.6 Ask questions and actively listen to others.
3.7 Refrain from non-constructive criticism of others.
3.8 Demonstrate professional decision-making skills in public.
3.9 Adhere to the guidelines in the Columbus State Community College Student Handbook, IEP Handbook, and Practicum
Tenet: Students demonstrate an ability to take time to understand others, to manage emotions effectively, to use humor appropriately,
and to allow people the opportunity to make mistakes.
Guiding Principle: Students should expect to maintain professionalism in communication with others, including members of the Deaf
community, faculty and staff, fellow students, and working interpreters. Professional communication includes giving and receiving
feedback, observing the work of others, and asking questions.
Illustrative behaviors for students:
4.1 Communicate in a professional, courteous manner in online communication (e.g., emails, social media, and texting) and face-
to-face communication.
4.2 Avoid language that could have the perception of a put-down by the listener.
4.3 Learn and follow the chain of command within institutions.
4.4 Communicate in a manner that is respectful and promotes collaborative results.
4.5 Represent yourself as a member of the Interpreter Education Program, Columbus State Community College, and the
interpreting profession in a positive manner.
Tenet: Students express respect for members of the faculty, staff, Deaf community, fellow students, and working interpreters while
demonstrating humility, honesty, and integrity.
Guiding Principle: Students demonstrate the ability to work within a professional context by understanding and adhering to
organizational norms and expectations, demonstrating respect for other professionals, deferring to those more advanced in the field,
and supporting and mentoring others who have less experience. At times, these contexts may include emotionally charged situations in
which respect for your own responses and others’ reactions require thoughtful and mature consideration.
Illustrative behaviors for students:
5.1 Adhere to the ASL/IEP Language Philosophy by signing in the company of Deaf faculty, staff, and students
5.2 Demonstrate listening and attentive behaviors when conversing with others through posture, eye contact, and body language.
5.3 Respectfully consider the ideas and themes raised by others.
5.4 Express yourself with self-assurance by articulating thoughts and feelings in a clear, deliberate, and unassuming manner.
5.5 Demonstrate honesty and trustworthiness in interactions with others.
5.6 Avoid deceit or stretching the truth.
5.7 Do not take credit for work done by others.
5.8 Admit and accept shortcomings and limitations in knowledge and skills.
5.9 Do not flaunt knowledge or skills.
5.10 Do not display anger, annoyance, frustration, defensiveness, excessive self-criticism, or withdrawal when given feedback.
Tenet: Students maintain ethical practices.
Guiding Principle: Students demonstrate the ability to hold, understand, and value multiple perspectives, and worldviews. Students
exhibit the ability to eliminate previously held stereotypes and beliefs about individuals from different cultural groups. Students
recognize their larger role as citizens within a society and act according to ethical norms.
Illustrative behaviors for students:
6.1 Know the tenets of the NAD-RID Code of Professional Conduct.
6.2 Follow best practices within the profession when faced with ethical conflicts including practicing discretion when accepting
interpreting assignments, following standard billing practices, and discussing individual terms and conditions.
6.3 Demonstrate willingness to change or compromise in the face of new information.
6.4 Demonstrate flexibility when considering the opinions of others.
6.5 Recognize there are multiple ways of doing things that are reasonable and appropriate for the situation.
Tenet: Students exhibit a commitment to the interpreting profession. In addition, students demonstrate the ability to be dependable
when undertaking and complete activities that support this commitment.
Guiding Principle: Students should expect to foster and maintain interpreting competence and the stature of the profession through
ongoing development of knowledge and skills.
Illustrative behaviors for students:
7.1 Value potential avenues for learning, including classroom discussions, readings, activities, assignments, and feedback from
members of the Deaf community, peers, colleagues, faculty, and staff.
7.2 Take initiative to acquire new information, improve, and change when a gap in knowledge or a deficit in a personal quality is
7.3 Demonstrate dependability, reliability, and follow through with tasks and assignments by meeting deadlines, being punctual,
being prepared, and working as a team member.
7.4 Go beyond the minimum expectations in learning and professional activities.
7.5 Be reflective about all learning opportunities.
Adapted from the Gallaudet University Department of Interpretation and Translation Student Code of Professional Conduct (With
____________________________________________ ________________________
Signature Date
Print Name
Columbus State Community College
tudents in the Interpreter Education Program Associate of Applied Science Degree:
ust complete all requirements outlined in the Plan of Study in order to be eligible for practicum
Must score 83% on the Entrance Exam for Practicum (EEP) one semester prior to practicum placement
Must meet with his/her advisor one semester prior to registering for his/her first practicum course to complete
all necessary paperwork
Must be available a MINIMUM of 11 hours per week times 15 weeks, excluding weekends and evenings
Must complete a minimum of a 320-hour, non-paid, practicum experience during two consecutive semesters of
their program
o IEP 2901 Community Practicum I
o IEP 2902 Community Practicum II
o IEP 2903 K-12 Educational Practicum
Must successfully complete one practicum experience during daytime, school hours in a K-12 setting (IEP
2903) in order to be eligible for ODE’s Hearing Impaired Interpreter Licensure
Must adhere to all Practicum rules and requirements
Must adhere to the RID Code of Professional Conduct
Must be under DIRECT supervision of a site interpreter at ALL times when interpreting during practicum
Are responsible for identifying and meeting deadlines for paperwork and meetings related to Practicum (See
Practicum Handbook)
ontact Katrina Callaghan at
or 614.287.5164 for more information.
I have read, and agree to abide by the above Practicum Requirements.
________________________________________ ____________________
Signature Date
Release Agreement
I understand that any or all portions of any presentation that I participate in or interpret may be videotaped,
photographed, tape recorded, or reproduced for the purpose of benefiting members of the Deaf community,
educators, interpreters, students and others interested in the Interpreter Education Program.
I agree to allow Columbus State Community College to share such video recordings, photographs, tape
recordings, or other reproductions with other persons, groups, schools, or organizations for educational and/or
training purposes.
n the event that any material contained in any presentation is, or will be, copyrighted, I license the Columbus
State Community College to utilize said material as stated in this Release Agreement.
n consideration of the permission granted to me by the Columbus State Community College, to present,
participate in, or interpret presentations on behalf of the Columbus State Community College, I knowingly and
voluntarily execute this Release Agreement.
ate ______________________________
Signature __________________________
Printed Name __________________________
You may NOT audio and, video recording, transmission, or distribution of class content (e.g.,
lectures, discussions, demonstrations, etc.) unless the course instructor has provided written
permission via the syllabus or a signed form. Authorization to record extends solely to students in
that particular course.
You may NOT Transmit, share, or distribute course content (including tests, notes, lecture
materials, assignments, etc.) onto public, commercial, or social media sites.
The Interpreter Education Program remains diligent in protecting the privacy of students, faculty,
staff and others involved with our program. You may NOT post pictures, videos, etc. from class
and/or extracurricular IEP events on social media sites without express permission of included
individuals. Failure to follow this provision could result in the student’s dismissal from the
________________________________________ _______________________
Student Printed Name Date
________________________________________ _______________________
Student Signature Cougar ID number