Educational Sign Language Interpreters Associate Degree Registration Form

This program will run from Summer 2020 to Fall 2022. The following courses will be offered in Summer & Fall 2020: 

Introduction to the Interpreting Process

Vocabulary Enhancement

Interpreter Education Setting

American Sign Language 1

Name*
Date of Birth*

Home Address*

Company Information

Company Billing Address*

Demographics

Highest Grade Completed*
Highest Grade Completed*
Current Work Status*
Disability**
*Select 'Yes' if you are self-identifying a disability
Ethnicity - Are you of Hispanic or Latino origin?*
(A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race)
Race*
Select all that apply

*This information is confidential and voluntary. Your feedback is used for continuous improvement of programming and state repoirthing. The information is requested to strengthen student support services and help obtain state and federal funding that can offset the full cost of your education. Accurate data helps NTC better identify stduent needs and improve services. Though your response is optional, it is very much appreciated.

Request for Release of Academic Records Information

I authorize my employer and CESA4 to obtain records, including performance, grade and attendance information, for the classes under this contract. I understand that this consent can be revoked in writing at any time prior to the release of this information. I further understand that I have a right to inspect and receive a copy of the material that is to be disclosed.*

Clicking submit will enroll you in this program. You will receive a confirmation statement in your email and additional details to follow.

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