Multicultural Community Service

Josephine Butler Parks Center

2437 15th Street, N.W., Washington, DC 20009
Tel: (202) 238-9355 Fax: (202) 299-9207
Email: info@mcsdc.org

2011 Community Interpreter Training Application

Today’s Date:

First Name: Last Name:

Social Security Number:

Home Address:

Employer:

Telephone Numbers: Home: Work: Cell:

E-mail address:

Date of Birth:

Native Language:

Other Languages:

Highest Level of Education Completed:

Diploma/Degree Earned:

Name & Phone Number of Emergency Contact Person:

Please review training cost information on the following page and select one of the following:

 I will pay for the training fees myself

 I am bilingual in Spanish and am interested in applying for an OLA Scholarship

Resume: Please email your resume to rcarrillo@mcsdc.org or fax it to 202-299-9207.

Application Fee: $50. The application fee is not refundable.

Application Deadline: Friday, April 29, 2011

The Multicultural Community Service (MCS) is a non-profit organization that encourages, promotes and facilitates broad and
inclusive civic participation. Founded in 1997, MCS’s key programs include Language Services and Parental Involvement.
 Community Interpreter Training Fees
Cost

The cost per student for the Community Interpreter Training is $1,500 (in addition to the application fee).
This cost includes MCS’s language proficiency test.

YOU MUST BE PROFICIENT IN ENGLISH

Language Proficiency test: a requirement:

All participants have the option to take either the certified language proficiency test from Language Testing International
(LTI) for an additional cost payable directly to LTI. More information about this will be provided once MCS receives
your application. Or, MCS language proficiency test, the cost of this test is included in the application fee.

Scholarships

OLA Scholarship:

In partnership with the D.C. Office of Latino Affairs (OLA), MCS is pleased to offer a limited number of scholarships
that cover 100% of the training cost to D.C. residents who are bilingual in Spanish. In order to apply for an OLA
Scholarship, you must:

1. Provide proof of D.C. residency (utility bill, driver’s license, or non-government ID)
2. Provide a copy of your most recent tax return
3. Pass the MCS or LTI Spanish language proficiency test (see test information above)
4. Complete 20 hours of volunteer interpretation services for OLA

To apply for the OLA scholarship, please send a copy of your proof of D.C. residency and tax return by May 6, 2011 to
Rosa Carrillo at Multicultural Community Service, 2437 15th Street, NW, Washington, D.C., 20009 (mail), 202-299-9207
(fax), or rcarrillo@mcsdc.org (email).

Cancellation Policy

This cancellation policy applies to all applicants:

 Before April 24, 2011 – 90% refund

 May 2l, 2011 to May 11, 2011 – 75% refund
 May 12, 2011 to May 23, 2011 – 50% refund
 After May 24, 2011 – No Refunds
 2011 Community Interpreter Training
Application Fee Payment Form

First Name: Last Name:

Telephone Numbers: Home: Work: Cell:

Application Fee
$50.00

Optional: Tax-deductible contribution to support the

language services work of the Multicultural Community $
Service. Thank you for your consideration.

Total $

Enclosed, please find my:

 Check (payable to Multicultural Community Service)  Cash  Money Order

Please charge my:  Visa  MasterCard  American Express

Name on Card:

Expiration Date:

Card Number:

Signature:

Please send your completed application and application fee to Multicultural Community Service, attention: Rosa Carrillo.

Mail: Multicultural Community Service, 2437 15th Street, NW, Washington, D.C., 20009
Fax: 202-299-9207
Email: rcarrillo@mcsdc.org

For more information, please call Rosa Carrillo at 202-299-9477.