Dd Form 2932 - National Language Service Corps (Nlsc) Application Page 5

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FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC) APPLICATION
CONTROL NUMBER
a.
HOW WOULD YOU RATE YOUR SKILLS IN THIS LANGUAGE?
(X one)
NATIVE
VERY GOOD
GOOD
FAIR
POOR
b. WHERE DID YOU LEARN THIS LANGUAGE?
(X all that apply)
IN THE U.S.
AT HOME AS A CHILD
HIGHER EDUCATION
SCHOOL (K-12)
ENTER FIFTH
NON-ENGLISH
AT HOME AS AN ADULT
DEFENSE LANGUAGE
COMMUNITY/
LANGUAGE
(e.g., with family/spouse)
INSTITUTE OR OTHER U.S.
CHURCH/OTHER
GOVERNMENT SCHOOL
FORMAL TRAINING
,
IF DONE
PROCEED
TO QUESTION 15
OUTSIDE THE U.S.
AT HOME
SCHOOL (K-12)
COLLEGE
WORKING/LIVING ABROAD
c. HOW OFTEN DO YOU USE THIS LANGUAGE?
(X one)
ALWAYS
SOMETIMES
RARELY
HAVE YOU EVER WORKED AS A...
d.
TRANSLATOR
PAID
NUMBER OF YEARS :
UNPAID
INTERPRETER
PAID
UNPAID
NUMBER OF YEARS :
PAID
UNPAID
NUMBER OF YEARS :
LANGUAGE TEACHER
e. HAVE YOU TAKEN ANY CERTIFICATION TESTS OR FORMAL TESTS IN THIS LANGUAGE?
(If so, please list them below)
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
NAME OF TEST:
TEST DATE:
TEST SCORE:
(
)
/
/
MM
DD
YYYY
17. OTHER QUALIFICATIONS
(If you have other qualifications which you feel are beneficial or complementary to this application, please describe briefly here
or attach additional pages with your full name and date at the right of each additional page)
SECTION V - APPLICANT CERTIFICATION
I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct,
complete, and made in good faith. I understand that false or fraudulent information on or attached to this application may be
grounds for not hiring me or for dismissal from the organization after I begin work and may be punishable by fine or imprisonment.
I understand that any information I give may be investigated.
18.a. SIGNATURE
b. DATE
(MM/DD/YYYY)
DD FORM 2932, JAN 2016
Page 5 of 5 Pages

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