Chicago Area Translators and Interpreters Association

Membership Application Form

(independent, freelance, and in-house professionals only)

Please Note!
If renewing a current or lapsed membership please use the PayPal link on the payment page.
When submitting this form, be sure to click the button once only! You may modify or correct it from the confirmation page.

Contact Information (* Required)

* First Name:		Middle Initial:		* Last Name:
* Primary E-mail:				Secondary e-mail:

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Global Publishing Information (Required)

Publish Never publish

If you choose NEVER PUBLISH, you will still receive communications and full membership benefits from CHICATA, but potential clients will not be able to find you in this directory.

Blue optional areas may be omitted or selectively hidden.

Address Information (Required)

Website:	(not required)
Address 1:		Address 2:
City:		State:
Zip Code:		Country:
Publish Address Information: Yes No

Telephone Information (Optional)

Business:	Home:	Cell:
Fax (Business):	Fax (Home):
Publish Telephone Information: Yes No

Translation Information (Required)

Please check all that apply:
	Translator Interpreter
	Freelance In-House Simultaneous Consecutive
Native or Dominant Language:

Language Combinations
Translation
From:	To:	From:	To:
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From:	To:	From:	To:
From:	To:	From:	To:
From:	To:	From:	To:

Interpretation
From:	To:	From:	To:
From:	To:	From:	To:
From:	To:	From:	To:
From:	To:	From:	To:
From:	To:	From:	To:

Other (Optional)

Although this is an optional area, the information you provide helps people narrow their search for specialized fields.

Areas of Specialization:

For searchable online directory purposes, please summarize your areas of specialization, checking the applicable fields shown below:

Business and Financial Computers Engineering General

Humanities (incl. Arts and Literature) Industry and Technology Law Medicine and Health Care

Sciences Social Sciences

Publish Specialization Information: Yes No

Related Services:

Publish Related Services Information: Yes No

Education/Degree(s): Academic Institution/College/University:

Publish Education Information: Yes No

Membership in Other Professional Organizations:

Publish Membership Information: Yes No

According to the By-Laws of the Chicago Area Translators and Interpreters Association, independent freelance and in-house translators and interpreters are eligible for membership. Owners, managers and representatives of translation agencies and/or bureaus are NOT eligible for membership. CHICATA does not act in any way as an employment agency or intermediary.

Having read the above, I hereby apply for membership in the Chicago Area Translators and Interpreters Association and agree to abide by its By-Laws. The directory information provided by me is accurate. I am NOT an owner, manager or representative of a translation agency or bureau.

For questions on membership, please contact , Vice-President for Membership.

We appreciate your interest.

© 2000-2007 Chicago Area Translators and Interpreters Association
CHICATA
P.O. Box 804595
Chicago, IL 60680-4107
Tel. (312) 836-0961 |
www.chicata.org