Registration: 60 + Hours Extended Basic Medical InterpretingClass Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Primary Phone *Secondary PhoneMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLanguages *Languages / dialects you speak well and for which you would like to interpretAre you currently an interpreter ? *YesNoHave you ever had any interpreter training ? *YesNoI would like to pay *full amount in advance: $700 (includes $50 pre-pay discount)$150 down, with installments of $50 per 4-hr. module (or $150 per weekend/week) NameSubmit