EOHHS-MCDHH

Reference for MCDHH Screening

Thank you for your interest in filling out the reference form for this candidate within 3 years. Your response will be kept confidential. Before you proceed, you should have seen the candidate interpret.

Name(Required)

First Last

Chosen Name:

First

Pronouns:

She/Her/Hers

He/Him/His

They/Them/Theirs

Other

Employer:

Job Title:

Email:(Required)

Are you:(Required)

Deaf or DeafBlind

ASL/spoken English Interpreter or Educator

Type of Reference:(Required)

Consumer or their Advocate

Deaf Interpreter (CDI/RSC/SDI)

Applicant's Information

Name(Required)

First Last

Chosen Name:

First

Please select the type of screening the applicant is taking:(Required)

Interpretation or Transliteration Screening

Deaf Interpreter Screening

You can submit the reference by filling out the form or submitting a video. Please select how you would like to proceed:(Required)

Form

Video

Consumer/Advocate for Deaf Interpreter Screening

How do you know this applicant?(Required)

In what situations have you or your client used this applicant as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; where the settings formal/informal; etc.)(Required)

When I observed or used the applicant interpret, it appeared that: (Please choose one)(Required)

I or the deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.

I or the deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.

I or the deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.

I or the deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

When I saw or experienced the applicant interpret to the ASL/spoken English interpreter: (Please choose one)(Required)

This question does not apply because I never saw the applicant interpret to a ASL/spoken English interpreter.

I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.

I found the applicant’s interpretation to be fairly accurate and appropriate.

I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.

I found that the applicant was unable to understand my or the deaf consumer’s message, and the applicant conveyed incorrect information.

Consumer/Advocate for Deaf Interpreter Screening

Instruction: Please record yourself answering the following questions listed below. Upload the video YouTube as unlisted and put the link below. The video should be between 3-5 minutes answering the questions. ASL Translation of this form can be found at: https://vimeo.com/735921644/3bed121f1a

List of Questions

1. How do you know this applicant?

2. In what situations have you or your client used this applicant as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; were the settings formal/informal?)

3. When I observed or used the applicant interpret, it appeared that:

a. I or the deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.
b. I or the deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.
c. I or the deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.
d. I or the deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

4. When I saw or experienced the applicant interpret to the ASL/spoken English interpreter:

a. This question does not apply because I never saw the applicant interpret to an ASL/spoken English interpreter.
b. I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.
c. I found the applicant’s interpretation to be fairly accurate and appropriate.
d. I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.
e. I found that the applicant was unable to understand my or the deaf consumer’s message, and the applicant conveyed incorrect information.

5. In your opinion, what are the best qualities of this applicant? (Focus on skill and attitude)

6. From your experience with the applicant, in what areas of interpreting would you suggest improvement? Please note areas of strength and concern.

7. Do you believe this applicant is ready to take the Screening?

YouTube Link:(Required)

Deaf Interpreter (CDI/RSC/SDI) Reference

How do you know this applicant?(Required)

In what situations have you seen this applicant as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; where the settings formal/informal; etc.)(Required)

When I observed the applicant interpret, it appeared that: (Please choose one)(Required)

The deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.

The deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.

The deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.

The deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

When I saw the applicant interpret to the ASL/spoken English interpreter: (Please choose one)(Required)

This question does not apply because I never saw the applicant interpret to a ASL/spoken English interpreter.

I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.

I found the applicant’s interpretation to be fairly accurate and appropriate.

I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.

I found that the applicant was unable to understand the deaf consumer’s message, and the applicant conveyed incorrect information.

Deaf Interpreter (CDI/RSC/SDI) Reference

Instruction: Please record yourself answering the following questions listed below. Upload the video YouTube as unlisted and put the link below. The video should be between 3-5 minutes answering the questions. ASL Translation of this form can be found at: https://vimeo.com/735921613/45edeeb151

List of Questions

1. How do you know this applicant?

2. In what situations have you seen this applicant as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; were the settings formal/informal?)

3. When I observed the applicant interpret, it appeared that:

a. The deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.
b. The deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.
c. The deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.
d. The deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

4. When I saw the applicant interpret to the ASL/spoken English interpreter:

a. This question does not apply because I never saw the applicant interpret to an ASL/spoken English interpreter.
b. I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.
c. I found the applicant’s interpretation to be fairly accurate and appropriate.
d. I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.
e. I found that the applicant was unable to understand my or the deaf consumer’s message, and the applicant conveyed incorrect information.

5. In your opinion, what are the best qualities of this applicant? (Focus on skill and attitude)

6. From your experience with the applicant, in what areas of interpreting would you suggest improvement? Please note areas of strength and concern.

7. Do you believe this applicant is ready to take the Screening?

YouTube Link:(Required)

ASL/spoken English Interpreter Reference for Deaf Interpreting Screening

How do you know this applicant?(Required)

In what situations have you seen this applicant work as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; where the settings formal/informal; etc.)(Required)

When I observed the applicant interpret, it appeared that: (Please choose one)(Required)

The deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.

The deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.

The deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.

The deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

When I saw the applicant interpret to myself or another ASL/spoken English interpreter: (Please choose one)(Required)

This question does not apply because I never saw the applicant interpret to a ASL/spoken English interpreter.

I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.

I found the applicant’s interpretation to be fairly accurate and appropriate.

I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.

I found that the applicant was unable to understand the deaf consumer’s message, and the applicant conveyed incorrect information.

ASL/spoken English Interpreter Reference for Deaf Interpreter Screening

Instruction: Please record yourself answering the following questions listed below. Upload the video YouTube as unlisted and put the link below. The video should be between 3-5 minutes answering the questions. ASL Translation of this form can be found at: https://vimeo.com/735921661/552411a213

List of Questions

1. How do you know this applicant?

2. In what situations have you see the applicant work as a Deaf Interpreter? (Be specific, include length of time and describe if you noticed any strengths and concerns; were the settings formal/informal?)

3. When I observed or used the applicant interpret, it appeared that:

a. The deaf consumer was able to easily and fully understand the message conveyed, and the applicant seemed confident and competent.
b. The deaf consumer seemed to have some difficulty understanding the applicant, they seemed to get the important part of the message accurately.
c. The deaf consumer seemed to have difficulty understanding the applicant; the applicant seemed to be struggling with the material and delivery.
d. The deaf consumer seemed indifferent to, or frustrated by the efforts of the applicant who seemed to have great difficulty keeping up and/or interpreting the Speaker’s message.

4. When I saw the applicant interpret to myself or another ASL/spoken English interpreter:

a. This question does not apply because I never saw the applicant interpret to an ASL/spoken English interpreter.
b. I found the applicant’s interpretation clear and grammatically appropriate, reflecting the spirit of the consumer; and they had confidence and conveyed an accurate message.
c. I found the applicant’s interpretation to be fairly accurate and appropriate.
d. I found that the applicant struggled to understand the consumer, and produced a halting and fragmentary message that was confusing to understand.
e. I found that the applicant was unable to understand my or the deaf consumer’s message, and the applicant conveyed incorrect information.

5. In your opinion, what are the best qualities of this applicant? (Focus on skill and attitude)

6. From your experience with the applicant, in what areas of interpreting would you suggest improvement? Please note areas of strength and concern.

7. Do you believe this applicant is ready to take the Screening?

YouTube Link:(Required)

ASL/spoken English Interpreter or Educator Reference

Instruction: Please record yourself answering the following questions listed below. Upload the video YouTube as unlisted and put the link below. The video should be between 3-5 minutes answering the questions. ASL Translation of this form can be found at: https://vimeo.com/738312616/363bbe5181

List of Questions

1. How do you know this applicant?

2. In what situations have you see the applicant interpret? (Be specific, include length of time and describe if you noticed any strengths and concerns; were the settings formal/informal?)

3. When the applicant interprets (English to sign language):

a. I can see that the speaker’s full intent and meaning are coming across clearly and accurately.
b. I notice a few errors in the interpretation, which do not harm the overall message.
c. I can see that only part of the speaker’s message is being interpreted.
d. I feel nervous because the applicant is missing most of what the speaker is saying.

4. When I have heard the applicant interpreting into Spoken English (sign to English): (Please choose one)

a. I can see that the signer’s full intent and meaning are coming across clearly and accurately.
b. I notice a few mistakes in the interpretation, which do not harm the overall message.
c. I can see that most signer’s message is being interpreted.
d. I feel nervous because the applicant is missing most of what the signer is saying.

5. When have listened to the applicant interpreting into spoken English (sign to English): (Please choose one)

a. I find the applicant speech and manner to be smooth and effortless.
b. I find the applicant speech and manner to be fairly smooth and effortless.
c. I notice some struggling: unnatural pauses, occasionally halting and fragmented in delivery.
d. I notice many unnatural pauses, very halting and fragmentary delivery.

5. In your opinion, what are the best qualities of this applicant? (Focus on skill and attitude)

6. From your experience with the applicant, in what areas of interpreting would you suggest improvement? Please note areas of strength and concern.

7. Do you believe this applicant is ready to take the Screening?

YouTube Link:(Required)

Deaf or DeafBlind Reference

Instruction: Please record yourself answering the following questions listed below. Upload the video YouTube as unlisted and put the link below. The video should be between 3-5 minutes answering the questions. ASL Translation of this form can be found at: https://vimeo.com/735921067/1d2a52a1cf

List of Questions

1. How do you know this applicant?

2. In what situations have you see the applicant interpret? (Be specific, include length of time and describe if you noticed any strengths and concerns; were the settings formal/informal?)

3. When the applicant interprets (English to sign language) for me: (Please choose one)

a. I feel like that I'm getting everything clearly.
b. I feel that I’m getting most of the meaning.
c.I have to guess at the meaning.
d. I do not understand most of what is being said.

4. When the applicant is interpreting into Sign Language (spoken English to Sign) for me:

a. I find their signing smooth and effortless.
b. I find their signing to be fairly smooth and effortless.
c. I noticed some struggling; unnatural pauses, occasional halting and broken in style.
d. I noticed many unnatural pauses, occasional halting and broken in style.

5. When the applicant interpreting into Spoken English (sign to English) for me: (Please choose one)

a. I feel completely confident that my meaning and intent is being conveyed.
b. I worry that some of my message is getting lost.
c. I have to repeat myself frequently to be certain the applicant understands.
d.I worry that the applicant is missing most of that I am saying.

5. In your opinion, what are the best qualities of this applicant? (Focus on skill and attitude)

6. From your experience with the applicant, in what areas of interpreting would you suggest improvement? Please note areas of strength and concern.

7. Do you believe this applicant is ready to take the Screening?

YouTube Link:(Required)

About the Applicant

From your experience with the applicant, in what areas of interpreting would you suggest improvement?:(Required)

What, in your opinion are the best qualities of this applicant, both in term of skill and attitude?:(Required)

Do you believe this applicant is ready to take the Screening?(Required)