California Healthcare Interpreting Association

CHIA Interpreter Registry

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THIS SITE IS PROVIDED BY CALIFORNIA HEALTHCARE INTERPRETING ASSOCIATION (“CHIA”) ON AN "AS IS" AND "AS AVAILABLE" BASIS. CHIA MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF THIS SITE OR THE INFORMATION, CONTENT, OR MATERIALS INCLUDED ON THIS SITE.

TO THE FULL EXTENT PERMISSIBLE BY APPLICABLE LAW, CHIA DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, AND MAKES NO REPRESENTATIONS CONCERNING THE INTERPRETERS IDENTIFIED IN THE REGISTRY AVAILABLE ON THIS SITE. YOU UNDERSTAND AND EXPRESSLY ACKNOWLEDGE THAT ALL INFORMATION CONCERNING ANY PARTICULAR INTERPRETER THAT IS AVAILABLE ON THIS SITE WAS PROVIDED BY THE INTERPRETER HIMSELF OR HERSELF AND NOT BY CHIA, AND THAT CHIA DOES NOT VOUCH FOR THE ACCURACY OF SAID INFORMATION.

AMONG OTHER THINGS, CHIA MAKES NO REPRESENTATIONS OR WARRANTIES CONCERNING WHETHER ANY PARTICULAR INTERPRETER: (1) HAS PROVIDED ACCURATE INFORMATION CONCERNING HIS OR HER BACKGROUND AND/OR QUALIFICATIONS; (2) IS QUALIFIED TO PROVIDED ANY PARTICULAR SERVICES; (3) HAS LIABILITY AND/OR OTHER INSURANCE APPLICABLE TO ANY SERVICES THAT HE OR SHE MAY RENDER; (4) IN THE COURSE OF RENDERING SERVICES WILL USE ANY INFORMATION PROVIDED TO HIM OR HER SOLELY FOR LAWFUL AND APPROPRIATE PURPOSES; AND/OR (5) IS LEGALLY ELIGIBLE TO WORK AND/OR OTHERWISE PROVIDE ANY SERVICES IN THE UNITED STATES.

YOU EXPRESSLY AGREE THAT YOUR USE OF THIS SITE AND THE INFORMATION CONTAINED THEREON IS AT YOUR SOLE RISK. TO THE FULLEST EXTENT PERMITTED BY LAW, YOU AGREE THAT CHIA WILL NOT BE LIABLE FOR ANY DAMAGES OF ANY KIND ARISING FROM THE USE OF THIS SITE OR ANY INFORMATION CONTAINED THEREON, INCLUDING BUT NOT LIMITED TO DIRECT, INDIRECT, INCIDENTAL, PUNITIVE, AND/OR CONSEQUENTIAL DAMAGES.

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Contact Information

First Name (required)

Last Name (required)

Email Address

1. Contact Numbers & Work Availability

Do you wish to be contacted about work opportunities:

If yes, please select the category that best describes the type of position sought:

Preferred telephone contact number (can be agency number):

Agency name (if applicable):

Second contact number (can be agency number):

Agency name (if applicable):

Third contact number (can be agency number):

Agency name (if applicable):

Are you generally available to interpret in PERSON on:

Are you generally available to interpret VIA TELEPHONE on:

Which counties are willing to travel to for work:

Do you have your own transportation:

Do you have your own liability (errors and omissions) insurance:

When was your last TB test:

Can you provide a list of references with contact numbers, if asked:

2. Language Skills

Language (including English) in which you are most fluent:

Reading fluency:

Writing fluency:

Speaking fluency:

Level of understanding:

Language in which you are SECOND most fluent:

Reading fluency:

Writing fluency:

Speaking fluency:

Level of understanding:

Language in which you are THIRD most fluent:

Reading fluency:

Writing fluency:

Speaking fluency:

Level of understanding:

Language in which you are FOURTH most fluent:

Reading fluency:

Writing fluency:

Speaking fluency:

Level of understanding:

In what country did you study English:

Number of years of English study:

Has your English ability been formally tested:

Written, oral or both:

Testing organization:

Year of English test:

Did you pass:

If your primary language is not English, what is it:

How many years did you study that language:

In what country did you study that language:

If your ability in another language has been tested, what language is it:

Written, oral or both:

Testing organization:

Year of test:

Did you pass:

3. Interpreting Experience

Adult Primary Care:

Audiology:

Behavioral/Mental Health:

Business Office:

Cardiology:

Chaplaincy:

Clinical Trials:

Dentistry:

Dermatology:

Dialysis:

Disability:

Domestic Violence:

Early Intervention:

Emergency Room/Trauma:

Endocrinology:

Family Meeting:

Gastroenerology:

Genetic Counseling:

Gerontology:

Gynecology:

HIV/AIDS:

Home Care:

Hospice Care:

Intensive Care:

Nephrology:

Neurology:

Nuclear Medicine/Radiology:

Nursing:

Obstetrics:

Occupational Medicine:

Occupational Therapy:

Oncology:

Ophtamology:

Orthopedic:

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Contact Information

1. Contact Numbers & Work Availability

2. Language Skills

3. Interpreting Experience