Level Up! ASL Interpreter Mentorship Program Application

Please list your preferred name and pronouns

Please include an email address and phone number you prefer to be contacted at

Please include your home address.

What is the best way to contact you?

How did you hear about this mentorship program?

What are your expectations of this mentorship program?

What interpreting goals are you working on?

What is your planned field of interpreting?

Why do you want to be an ASL interpreter?

Do you have a reliable method of transportation?

Please list your languages (separated by commas) in order of best written knowledge.
Include English and do NOT list more than three languages total.
Example: English, Spanish, American Sign Language.

Where did you learn American Sign Language?

How many years did you study ASL?

Please provide the name of the program you learned American Sign Language.

Are you 16 years of age or older?

When are you available to enroll in LAMP’s ASL Interpreter Mentorship Program?

About how many hours per week would you be available for the Mentorship Program?

Have you ever been convicted of or pleaded guilty to a misdemeanor or felony (other than a parking violation)?
A “yes” response will not disqualify you from consideration for mentorship.
The nature and circumstances of the matters reported as well as their disposition are all important in the mentorship consideration.
Please answer Yes or No. If yes, please explain.

Has any surety company ever refused to issue / continue any bond on your behalf? A “yes” response will not disqualify you from consideration for employment. The nature and circumstances of the matters reported as well as their disposition are all important in the mentorship consideration. Please answer Yes or No. If yes, please explain.

Have you at any time been accused of child abuse? (You are required to answer this inquiry whether or not a criminal conviction arose out of the allegation.) A “yes” response will not disqualify you from consideration for mentorship.
The nature and circumstances of the matters reported as well as their disposition are all important in the mentorship consideration.
Please answer Yes or No. If yes, please explain.

Can you perform all the essential functions in the mentorship program with or without reasonable accommodation?

Are you willing to have an annual Tuberculin test or provide documentation of the inability to do so?

Are you willing to have an annual influenza vaccine or provide documentation of the inability to do so?

Are you willing to have a COVID-19 vaccine or provide documentation of a valid medical or religious exemption?

Have you ever professionally interpreted or translated before?

If you have received any interpreter training, please provide the organization or training program name.

Do you currently hold any professional interpreting certificates? If yes, please list them.

What college/colleges did you attend?

Please list your college graduation date/dates.

Personal Reference 1
Please provide the name, email, telephone number, and relation of reference.
References can not be related to you or previous employers.

Personal Reference 2
Please provide the name, email, telephone number, and relation of reference.
References can not be related to you or previous employers.

Personal Reference 3
Please provide the name, email, telephone number, and relation of reference.
References can not be related to you or previous employers.