Document = Interpreter Application Form Stylesheet = http://firtl.com/wp-content/uploads/2014/02/raformdef.css Intro = !!! DO NOT USE THIS FORM !!!\n!!! FOR DEMONSTRATION ONLY !!!\nAbout this form:\nhttp://firtl.com/2014/02/05/simple-web-form-generator-to-pdf/\n Outro = Please return your completed application form by email to Central Interpreting Services:\nmailto:DONOTUSETHISFORM@example.com\nAlternatively, you may return it by post to the following address:\n\nCentral Interpreting Services\nREFUGEE ACTION\nThe Haven Community Centre\n17 Lake Road\nPORTSMOUTH\nPO1 4HA Section = Personal Details Intro = Information about you Field = Family name Field = First name(s) Field = Gender Type = Radio Choice = Male Choice = Female Field = Address Type = Textbox Field = Post code Field = Mobile tel number Field = Daytime tel number Field = Evening tel number Field = Email address Section = Languages / dialects Intro = Which languages/dialects do you speak? List them in order of fluency. Do not include English. Type = Table Rows = 5 Field = Language Field = Fluency Type = Radio Choice = Native Choice = Fluent Choice = Intermediate Section = Language Assessment Intro = 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. Type = Table Rows = 5 Field = Language Name = Assess Section = Qualifications Intro = Please include any qualifications that you have gained both in the UK and abroad and any qualifications you have in interpreting.\n\nPlease specify the date you were awarded each qualification. Type = Table Rows = 6 Field = Date Field = Name of Institution/Awarding Body Name = Institution Field = Qualification and Grade\n(where appropriate) Name = Grade Section = Experience Intro = Please give details of any previous interpreting experience and other relevant experience, both paid and voluntary. Type = Table Rows = 6 Field = Dates\n(from-to) Field = Name of organisation Name = organisation Field = Role Section = References Intro = Please give details of two referees who you know in a professional capacity. Type = Table Rows = 2 Field = Name of referee Name = referee Field = Their position \n and relationship to you Name = position Type = Textbox Field = Organisation name \n and address Name = orgaddress Type = Textbox Field = Telephone number \n and email address Name = orgtelemail Type = Textbox Section = Declaration Intro = 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.\n\nPlease note that an electronic signature is sufficient. Field = Signature Type = Image Field = Date Section = Availability (days / times) Intro = 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.\n\nPlease indicate all the periods during which you are generally available: Type = Table Rows = 8.30 to 1pm,1pm to 2pm, 2pm to 5.30pm Field = MON Type = Checkbox Field = TUE Type = Checkbox Field = WED Type = Checkbox Field = THU Type = Checkbox Field = FRI Type = Checkbox Field = SAT Type = Checkbox Field = SUN Type = Checkbox Section = Availability (location / method) Intro = Please indicate which locations you are prepared to attend and which communication methods are available to you. Field = Are you available to interpret over a landline telephone? Name = landline Type = Radio Choice = yes Choice = no Field = Are you available to interpret on a mobile phone? Name = mobile Type = Radio Choice = yes Choice = no Field = Are you available to interpret at your nearest Refugee Action office? Name = inoffice Type = Radio Choice = yes Choice = no Field = Are you available to interpret in community venues near to your\nclosest* Refugee Action office? Name = ouroffice Type = Radio Choice = yes Choice = no Field = *If yes, how far are you willing to travel? Name = howfar Type = Text Section = Out-of-Hours List Intro = 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. Field = Would you like to be on the out-of-hours list? Name = outofhours Type = Radio Choice = yes Choice = no Section = Partner Agencies Intro = We can share your details with external agencies who may also wish to engage you as an interpreter on a freelance basis. Field = Would you be happy for us to share your details with external agencies? Name = freelance Type = Radio Choice = yes Choice = no Section = Right to Work in the UK Intro = 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. Field = Do you have the right to work in the UK ? Name = righttowork Type = Radio Choice = yes Choice = no Section = Self-Employed Status Intro = Please note that you must be registered with HMRC as self-employed before you can start interpreting for Refugee Action. Outro = For more information please go to the HMRC web page:\nhttp://www.hmrc.gov.uk/working/intro/selfemployed.htm\nor call the HMRC Helpline on 0845 915 4515\n\nUnfortunately, 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. Field = Are you registered with HMRC as self-employed? Name = selfemployed Type = Radio Choice = yes Choice = no Field = What is your 10-digit Unique Tax Reference (UTR) number? Name = utr