Family Name
(One only please)
First Name
Address
City
State
Country
Zip Code
Phone
E-mail
Date of Birth
mm/dd/yyyy
Gender
Country of Birth
Country of Citizenship
Native Language
Profession
Emergency Contact Name
Emergency Contac Phone
 
Course Selection
 
Indicate
which course/seminar
you wish to attend
My languages are: (native or near-native spoken fluency)
 
Experience and Education
Prior experience I have no prior interpreting experience
  I have prior interpreting experience (please describe)
(If Yes, please describe)
Educational Background
High School Diploma
B.A. (subject area)
M.A. (subject area)
Ph.D. (subject area) Country:
 
Aptitude Test
I wish to take the interpreting aptitude test
(a fee of $95.00 will be charged for the test):
Yes No
Financial Settlement (please check one):
  One time, non-refundable Registration Fee: $125.00
  Aptitude Test $95
  Day Course Tuition $975.00
  Evening Course Tuition $825.00
Payment Information
Method of Payment:
  I wish to pay online by credit card.
  I wish to pay by check, by mail or in person. (Check or money orders should be made out to Inlingua School)
  The course will be paid by my employer.
Credit Card Type:

Credit Card Number
Name as it appers on Card
Card Expiration Date
Name and Address of Employer:
 
Conditions
  1. All payments must be in US funds.
  2. Only credit card payments can be completed on-line.
  3. Applicants are responsible for wire transfer fees.
  4. An application cannot be processed until tuition and registration fees have been paid in full.

By submitting this application, you agree to all terms and conditions set forth by Inlingua. By submitting this request, I understand that my credit card will be charged one or more of the following amounts depending on the number and type of course(s) for which I am registering:

Tuition to be paid one week in advance. If you are not accepted for the course/seminar, all fees paid will be refunded in full.

   
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