INTERPRETER AND TRANSLATOR SERVICES UNIT REGISTRATION FORM JD-ES-326 New 12-16 INTERPRETER AND TRANSLATOR SERVICES www.jud.ct.gov STATE OF CONNECTICUT Please print clearly and provide all requested information to register as a candidate. Once we process your information, you will receive an e-mail with further information regarding the written exam. Return this completed form, together with your resume and letter of intent. Your letter of intent must express your interest in becoming a temporary court interpreter to work continuously for the Judicial Branch in such capacity. Send completed form to only one of the following: E-mail: Interpreter.Employment@jud.ct.gov (Preferred method) or Mail: Interpreter and Translator Services Unit, 90 Washington Street, 3rd Floor, Hartford, CT 06106 or Fax: (860) 706-5088 Attention: Interpreter Employment Name Address (Number, Street, Apartment, if applicable) City E-mail address Language(s), other than English, that I am fluent in State ZIP Telephone number Telephone number Home Home Cell Cell Other Other Date Years of interpreting experience: Where have you worked as an interpreter? Highest level of education attained: High School Diploma Technical School (field) Interpreter qualifications and/or certifications you hold: Associate's (degree) Bachelor's (major) Master's (major) Have you taken or are you planning on taking the written exam in another state? Yes No Date of exam: Location/state: Exam version (if known) Include your results report Ph.D. (major) Other (specify) Written Exam Date For a listing of exam dates and other information, please visit: http://jud.ct.gov/external/news/jobs/interpreter.htm or send an e-mail to Interpreter.Employment@jud.ct.gov First date choice Second date choice The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. American LegalNet, Inc. www.FormsWorkFlow.com ADA NOTICE