COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
APPLICATION QUESTIONNAIRE
(Please type)
Name: Mr. Ms.
Address:
Phone: Cell: Home:
E-mail:
Occupation:
Language (s) in which you feel qualified to interpret:
Interested applicants must meet the following minimum criteria for this
application to be processed:
The applicant has completed a Bachelor’s degree in the USA, or an
equivalent college degree from another country. (A copy of credit
transcripts or diploma will be required at the time of the interview.) Some
exceptions may apply for applicants in languages of lesser diffusion in
Massachusetts, or on an as-needed basis for emergency situations.
The applicant possesses advanced level of proficiency in both English and
the other language, as well as cultural competency skills. This means
proficiency that reflects college-level instruction at the oral and written
levels so as to pass a written screening exam that includes grammar,
vocabulary, reading comprehension and translation exercises. Exceptions
may apply for some languages of lesser diffusion in Massachusetts, or on
an as-needed basis for emergency situations.
Prior interpreting and translating training and/or professional experience
are not required, but are desirable and may receive preference in
recruitment.
Applicants must possess the paperwork required to work in the United
States.
OCIS will interview and test potentially-qualified candidates when the need to
recruit in their languages or in their geographical area arises.
OCIS will keep applications of candidates who meet minimum requirements
on file for future reference.
1
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
For additional information, go to:
https://www.mass.gov/orgs/office-of-court-interpreter-services
GENERAL EDUCATIONAL BACKGROUND
1. Academic credentials [If you are invited to an interview, you will be asked to
bring along official copies of transcripts or diploma(s).]
BA or Equivalent/Post-Graduate Degree(s) completed:
Concentration/Areas of Specialization:
Year(s) of graduation:
Name(s) of school(s):
Language(s) in which courses where taught:
Degree, if any?______
3. Have you taken courses on linguistics, translation, interpretation? YES
NO
Degree, if any?
If yes, where?:____________ ______ Date(s)_______
2. Have you taken legal courses?
YES
NO
If yes, where? __________________
Date(s)_______
Please, briefly describe the contents of the course(s):
________________________________________________________
________________________________________________________
________________________________________________________
Please, briefly describe the contents of the course(s)
:
_______________________________________________________
_______________________________________________________
_______________________________________________________
LANGUAGE PROFICIENCY B
ACKGROUND
4. ENGLISH
Please indicate which among the categories below best describe your English
proficiency level:
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Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
Written Advanced, with
only minor mistakes
Professional translator level
(superior command of grammar, spelling,
style)
Oral Advanced with
only minor mistakes in
Superior level
(superior command of structures, ample
grammar
and pronunciation lexicon, native-level pronunciation)
Did you complete an English as a Second Language program? When? Where?
Did you take the TOEFL exam? Date Score
Did you take the GRE exam?
Date Score __________
Were you administered an Oral Proficiency Interview (OPI)?
Home only
Elementary School level
High School level
College. How many years?
Adult Education Program (Please, specify.)
Have you lived in a country where Language 1 was an official language or was
spoken by most of its residents?
If YES, where did you live? ___________________________________
For how long? ___________________________________________
How long ago? ___________________________________________
Date:_______________ Results:______________________
Any other English Oral or Written Proficiency test?
Name:________________________ Date:________ Score:_______
5. OTHER LANGUAGE(S)
List the language(s) other than English you are most qualified to
interpret in. Indicate below for each language whether you learned and or
use this language or these languages in school or at home.
Language 1:
_________________________________
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Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
Home only
Elementary School level
High School level
College. How many years?
Adult Education Program (Please specify)
Have you lived in a country where Language 2 was an official language or
was spoken by most of its residents?
If YES, where did you live? __________________________________
For how long? ___________________________________________
How long ago? ___________________________________________
INTERPRETATION BACKGROUND
6. Have you ever received any formal training in (oral) interpretation?
YES NO
If YES, please give name(s) of institution(s) and date(s), language(s) and
describe the training received:
________________________________________________________
________________________________________________________
Language
2:________________________________
4
7. Did you receive an academic/professional certificate or degree in interpretation?
YES NO
If YES, please specify:
________________________________________________________
________________________________________________________
8. Have you ever been hired to work as an interpreter? YES NO
If YES, please indicate: name and address of institution(s) or
organization(s), dates of service, language(s) and describe your interpreting duties:
________________________________________________________
________________________________________________________
________________________________________________________
Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
TRANSLATION BACKGROUND
9. Have you ever received any f
ormal training in (written) translation?
YES NO
If YES, please give name(s) of institution(s) and date(s), language(s) and
describe the training received:
________________________________________________________
________________________________________________________
10. Did you receive an academic/professional
certificate or degree in
translation? YES NO
If YES, please specify: _______________________
11. Have you ever been hired as a translator? YES NO
If YES, briefly describe the type of documents you have translated and
their purpose:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
CODE OF CONDUCT FOR INTERPRETERS
12. Read the interpreter’s Code of
Professional Conduct for Court Interpreters
(
Go to w
ww.mass.gov/courts. Cl
i
ck on “Site Index”, Click on “I”, click on Code of
Conduct” and answer the following question):
You are the interpreter for a Non-English speaking witness appearing at a trial.
When responding to a question posed by the prosecutor, the witness gives an
answer that you know is wrong based on prior interviews with that same witness.
What do you do, according to the Code?
_________________________________________________________
_________________________________________________________
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Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
13. Please write a short biographical sketch highlighting the experiences/qualities
you feel qualify you to work as a court interpreter.
(You can type/write it here or attach a separate page.)
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
14. Please provide two professional references who can be contacted regarding
your interpretation and translation experience or other professional experience:
1. Name and Title: ___________________________________________
Address: _________________________________________________
Phone: ___________________________________________________
E-Mail if available: ___________________________________________
In what capacity can this person evaluate your professional/personal skills?
________________________________________________________
________________________________________________________
________________________________________________________
2. Name and Title: ___________________________________________
Address: __________________________________________________
Phone: ___________________________________________________
E-Mail if available: ___________________________________________
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Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
____________________________
Applicant’s Signature Date Completed
SUBMITTING YOUR COMPLETED QUESTIONNAIRE TO
OCIS*
Please mail questionnaires to:
Office of Court Interpreter Services
Two Center Plaza, 9th Floor Boston,
MA 02108
Attention Application Questionnaire
You can also e-mail an electronic version to: languageaccess@jud.state.ma.us (On
the Subject line, you must write: OCIS Application Questionnaire)
OCIS will e-mail an acknowledgment of receipt, indicating the status of your
application.
*Please understand that OCIS may not interview potentially qualified candidates unless a
need to recruit in their languages arises.
* OCIS will keep applications of candidates who meet minimum requirements on file for
future reference.
In what capacity can this person evaluate your professional/personal skills?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
7
Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
COMMONWEALTH OF MASSACHUSETTS
O
FFICE OF COURT MANAGEMENT, OFFICE OF COURT INTERPRETER SERVICES
Applicant does not meet minimum requirements.
Applicant meets minimum requirements, but language not needed at the
moment. Questionnaire will be filed for future reference.
Applicant meets minimum requirements, and language is needed now.
Interview scheduled for: ____________
RESPONSE E- MAILED ON: ___________________________________
COMMENTS:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
FOR OCIS USE ONLY
DATE RECEIVED: ____________________
STATUS: __________________________________________________
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Two Center Plaza, Boston, Massachusetts 02108
(T) 617-878-0269; (F) 617-367-9293; languageaccess@jud.state.ma.us
F23
COMMONWEALTH OF MASSACHUSETTS
THE TRIAL COURT
CONSENT TO CRIMINAL RECORD CHECK
AUTHORIZATION TO RELEASE RECORDS
Section I: To be completed by applicant and will be conducted by the Human Resources
Department on final candidate:
I understand that in order to be employed in the Massachusetts Trial Court, I must submit to a
criminal record check. Therefore, I provide my consent to a criminal record check and
acknowledge that the information provided below is true and accurate.
Full Name:
First Name Middle Name Last Name
Date of birth:______/______/________ Social Security Number:_______-______-________
Maiden Name or other name(s) by which you have been known:
___________________________________________________________________________
Mother=s Maiden Name:
Father=s Full Name:
____________________________________ __________________________
Signature Date
Section II: To be completed by the Office of Court Management
______ Record check DOES comply with Personnel Policies and Procedures Manual.
______ Record check DOES NOT comply with Personnel Policies and Procedures Manual.
____________________________________ __________________________
Signature Date
REV(12/17)
click to sign
signature
click to edit