LASLI Center - Become an Associate Enrollment

The Center for Legal American Sign Language Interpreters is a community of experienced, credentialed interpreters who work in courts and other legal venues. Becoming an associate makes you a member of the community, giving you access to the Center’s resources and the bulletin board where you may post or respond to issues affecting your profession. In addition, you are listed in the LASLI Center’s online database as an Center-endorsed interpreter. There are no charges and fees. However, to be an associate, you must meet the Center’s training requirements.

Please complete the form below, then mail your training
and certification documentation to:

LASLI Center
PO Box 2407

Suwanee, GA 30024-0980.

or email to Associates@LASLIcenter.com

About you:

Salutation:

Mr.

Mrs.

Ms.

Dr.

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone:

Fax:

Email:

About your credentials:

Certifications: (Please check all that apply.)

SC:L	CT	CI	CSC
NIC	NIC Advanced	NIC Master	CDI
NAD V

Degrees:

Professional Memberships:

Training:

List all training you have had for the past three calendar years. List Dates, Title of Training, Instructor(s), Location and CEUs earned. If appropriate indicate whether training was Professional Studies or Generalist Studies. Please note: only legal training will be counted towards Associate requirements.

About your practice:

If you are in private practice, please complete the following:

Are you a full-time interpreter?

Yes

How long have you been engaged in ASL interpreting in legal and judicial settings?

On the average, how many hours do you work as a legal interpreter each month?

If you are not in private practice, please complete the following:

Full Time

Part Time

Name of Employer:

On the average, how many hours do you work as a legal interpreter each month?

How long have you been engaged in ASL interpreting in legal and judicial settings?

Additional information:

Willing to travel in state?

Yes

Willing to travel out of state?

Yes

What do you consider to be your area(s) of strength in legal and judicial interpreting?