Cicrp-Form 002 - Oral Performance Exam Registration Form - Florida Court Interpreter Certification And Regulation Program

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Florida
Court Interpreter Certification
and Regulation Program
ORAL PERFORMANCE EXAM REGISTRATION FORM
C
I
:
ANDIDATE
NFORMATION
Title:
Mr.
Mrs.
Ms.
First Name:
Last Name:
Address
City
State
Zip Code
Primary Telephone:
Work
Cell
Home
Secondary Telephone:
Work
Cell
Home
Social Security Number:
E-mail:
Must include to request your exam from the National Center for State Courts
You will be notified of the date and time of your examination by e-mail.
S
I
:
CHEDULING
NFORMATION
Language Requested:
Test Location:
Oral Performance Examinations are available in the following languages: Arabic, Bosnian/Serbian/Croatian, Cantonese,
French, Haitian Creole, Hmong, Ilocano, Khmer, Korean, Laotian, Mandarin, Marshallese, Polish, Portuguese, Russian, Somali,
Spanish, Tagalog, Turkish, and Vietnamese
Requested Date:
A.M.
P.M.
Alternate Date:
A.M.
P.M.
Although your choice is not guaranteed, please indicate your appointment preference (exam is scheduled for one hour).
Confirmation of the date and time of the examination will be sent to you by e-mail once the registration deadline expires.
P
I
:
AYMENT
NFORMATION
Oral Performance Examinations:
Oral Proficiency Interviews:
Florida Resident - $200
Non-Florida Resident - $400
Please contact program staff for additional information.
Please make your cashier’s check or money order payable in U.S. funds to: STATE OF FLORIDA, and mail to:
Court Interpreter Certification and Regulation Program
Office of the State Courts Administrator
500 South Duval Street
Tallahassee, FL 32399-1900
All registration forms and fees must be received by the close of business on the registration deadline (see Schedule of
Program Events for applicable deadlines). Postmarks are not accepted. Once the registration deadline expires, all fees
are non-refundable and non-transferable, and no credits will be issued.
If you are a person with a disability who requires an accommodation to participate, please contact program staff prior to
the registration deadline at: Telephone: 850-922-5107, Fax: 850-414-1342, or E-mail:
P
N
T
F
:
LEASE
OTE
HE
OLLOWING
1. Individuals submitting to an oral testing measure absent becoming registered with the Office of the State Courts
Administrator, agree to withhold providing interpreting services in any court or court-related proceeding, as defined in
Rule 14.100(g) and (h), Florida Rules for Spoken Language Court Interpreters; or,
2. Unless otherwise provided in accordance with Rule 14.100(a). Specifically, “… Persons performing such services without
remuneration on behalf of persons demonstrating an inability to pay in circumstances not requiring appointment of a
court interpreter”; or,
3. Unless otherwise provided in Rules of Judicial Administration, Rules 2.560 and 2.565.
Signature:____________________________________________
Date:__________________________
CICRP-Form 002
Rev. 8/21/2017

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