Personal Details

Information about you

Family name
First name(s)
Gender	Male	Female
Address
Post code
Mobile tel number
Daytime tel number
Evening tel number
Email address

Language Assessment

List those of the above languages/dialects in which you would like to be assessed. Please note that we assess candidates only in languages for which we have a need.

Language

Qualifications

Please include any qualifications that you have gained both in the UK and abroad and any qualifications you have in interpreting.

Please specify the date you were awarded each qualification.

Date	Name of Institution/Awarding Body	Qualification and Grade (where appropriate)

Experience

Please give details of any previous interpreting experience and other relevant experience, both paid and voluntary.

Dates (from-to)	Name of organisation	Role

References

Please give details of two referees who you know in a professional capacity.

Name of referee	Their position and relationship to you	Organisation name and address	Telephone number and email address

Declaration

I confirm that to the best of my knowledge the information given on this form is true and correct. I understand that giving false statements may invalidate my application.

Please note that an electronic signature is sufficient.

Signature
Date

Availability (days / times)

The majority of Refugee Action’s need for interpreters is within office hours (8.30 am to 5.30 pm, Monday to Friday), mainly via telephone and sometimes face-to-face.

Please indicate all the periods during which you are generally available:

Availability (location / method)

Please indicate which locations you are prepared to attend and which communication methods are available to you.

Are you available to interpret over a landline telephone?	yes	no
Are you available to interpret on a mobile phone?	yes	no
Are you available to interpret at your nearest Refugee Action office?	yes	no
Are you available to interpret in community venues near to your closest* Refugee Action office?	yes	no
*If yes, how far are you willing to travel?

Out-of-Hours List

Refugee Action operates an emergency 'out-of-hours' phone line which means that occasionally we need to be able to contact an interpreter in the middle of the night, or at the weekend.

Would you like to be on the out-of-hours list?

yes

Partner Agencies

We can share your details with external agencies who may also wish to engage you as an interpreter on a freelance basis.

Would you be happy for us to share your details with external agencies?

yes

Right to Work in the UK

It is an offence for Refugee Action to use your services if you are not entitled to work in the UK. In order for Refugee Action to comply with the law, you must produce in person one of the documents listed by the Home Office before starting work. Please see the document entitled 'Eligibility to Work in the UK' for further information.

Do you have the right to work in the UK ?

yes

Self-Employed Status

Please note that you must be registered with HMRC as self-employed before you can start interpreting for Refugee Action.

Are you registered with HMRC as self-employed?	yes	no
What is your 10-digit Unique Tax Reference (UTR) number?

For more information please go to the HMRC web page:
http://www.hmrc.gov.uk/working/intro/selfemployed.htm
or call the HMRC Helpline on 0845 915 4515

Unfortunately, foreign nationals who are in the UK on a student visa are not permitted to apply for self-employed status, and are therefore unable to become interpreters for Refugee Action.

Please return your completed application form by email to Central Interpreting Services:
DONOTUSETHISFORM@example.com
Alternatively, you may return it by post to the following address:

Central Interpreting Services
REFUGEE ACTION
The Haven Community Centre
17 Lake Road
PORTSMOUTH
PO1 4HA

Language	Fluency
Language	Native	Fluent	Intermediate

	MON	TUE	WED	THU	FRI	SAT	SUN
8.30 to 1pm
1pm to 2pm
2pm to 5.30pm

Interpreter Application Form