For more information and job description, please read American Sign Language Interpreter for Local Community Job Description.

You can fill out the application here or stop by our center to pick up the application. 

Application for Employment

Which position are you applying for?
Are you willing to relocate?*
Portfolio Web Site
Attach a Copy of Your Resume
Upload a picture:
Name:*
Address:*
Phone:*
-
E-mail:
Are you legally eligible for employment in the United States?*
High School Graduate?
High School Name:
High School Address:
College/University Name:
Graduate:
College/University Address:
Degree Course of Study:
Do you have any experience at general educational setting?*
Do you have any experience at general educational setting with children who have a disability?*
Do you have the minimum Level I certification from the Texas Commission for the Deaf and Hard-of-Hearing Board of the Evaluation of Interpreters (BEI) or Registry of Interpreters for the Deaf (RID) certification?*

Employment History

Please give accurate, complete full time and part time employment record beginning with your present or most recent employer.

1.
Employer & Type of Business:
Telephone:
-
Employer Address:
Job Title:
Describe your work:
Supervisor's Name:
Employed From:
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Employed To:
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2.
Employer & Type of Business:
Telephone:
-
Employer Address:
Job Title:
Describe your work:
Supervisor's Name:
Employed To:
 / 
 / 
Employed From:
 / 
 / 
3.
Employer & Type of Business:
Telephone:
-
Employer Address:
Job Title:
Describe your work:
Supervisor's Name:
Employed To:
 / 
 / 
Employed From:
 / 
 / 
4.
Employer & Type of Business:
Telephone:
-
Employer Address:
Job Title:
Describe your work:
Supervisor's Name:
Employed To:
 / 
 / 
Employed From:
 / 
 / 
5.
Employer & Type of Business:
Telephone:
-
Employer Address:
Job Title:
Describe your work:
Supervisor's Name:
Employed To:
 / 
 / 
Employed From:
 / 
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Note: We may contact the employers listed above unless you indicate any you do not want contacted:

Employer:
Reason:
Employer:
Reason:
Have you ever been terminated or asked to resign from any employment?:*
If so, please explain each instance in full:
Have you ever been convicted of a felony offense?:*
Date of convicted:
 / 
 / 
Place of convicted:
Nature:

An affirmative answer will not automatically disqualify you from consideration as a candidate for employment.

Have you ever had any arrests involving alleged sexual misconduct of any nature, violence, drugs or alcohols?*
Date of arrest:
 / 
 / 
Place of arrest:
Nature:

An affirmative answer will not automatically disqualify you from consideration as a candidate for employment.

Have you previously been employed by The Deaf and Hard of Hearing Center?*
When (From):
 / 
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When (To):
 / 
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If under another name, please incident name:
Do you have any relatives employed by The Deaf and Hard of Hearing Center?*
If yes, please give the name:
What relationship?

List membership in professional or civic organizations (exclude any which may disclose your age, sex, race, color, national origin, or disability).

1:
2:
3:
4:
5:

List three professional references�(Do not list employers or relatives):

1.
Name:
Address:
Occupation:
Telephone:
-
2.
Name:
Address:
Occupation:
Telephone:
-
3.
Name:
Address:
Occupation:
Telephone:
-

List three personal references�(Do not list employers or relatives):

1.
Name:
Address:
Occupation:
Telephone:
-
2.
Name:
Address:
Occupation:
Telephone:
-
3.
Name:
Address:
Occupation:
Telephone:
-

Please give any other information you think might be helpful to us in considering you for employment, such as additional work experience, activities, accomplishments, etc. (You may exclude any which may disclose your age, sex, race, color, national origin, or disability).

1:
2.
3.
4.
5.

Person to be notified in case of emergency:

Name: *
Address: *
Telephone: *
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I hereby affirm that the information provided on this application and any accompanying resume is true and complete to the best of my knowledge. I also understand that any misstatement or omission of facts may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I understand that my employment may be terminated at any time, and for any reason, by The Deaf and Hard of Hearing Center or by me. I also understand that neither this application nor any offer of employment from The Deaf and Hard of Hearing Center A constitutes a contract.

I give The Deaf and Hard of Hearing Center the right to investigate all references and to secure additional information if job related. I release from liability the Deaf & Hard of Hearing Center and its representatives for seeking such information.

I authorize any persons or organizations named in this application and any accompanying resume to provide any relevant information that may be required to make an employment decision.

I understand that I may be required to undergo urinalysis to detect illegal use of drugs as a prerequisite for employment. Also, as a condition of my employment, I understand that at any time during my employment The Deaf and Hard of Hearing Center may require me to undergo urinalysis. I further understand that at the time of any such examination, I will be required to execute all forms of consent and releases of liability as are usually and reasonably required for such examinations. Finally, I understand that the results of any such examinations shall be made available to The Deaf and Hard of Hearing Center, its designated employees, and my physician.

I understand that, if employed by the Deaf & Hard of Hearing Center, I will become a public representative of The Deaf and Hard of Hearing Center and, as such, have an obligation to promote its integrity and image through my words and personal conduct. Three Core Values of the Center are:

Sincerity
Confidentiality
Integrity
Communication
Community



I understand and will be required to follow codes with the possibly of termination if not adhered to:*
I have read and understood this Acknowledgment, and electronically sign it of my own free will:*
Name: *
Date of electronically sign: *
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Word Verification: