Initial Provisional-B Interpreter License Application

License Info

Please select only one or two options below that apply to you

Your Info

Address

Mentor(s)

This section must be filled out for the class B provisional application

For your information:

Do you want to be listed independently on an interpreter directory?

If so, click here to go directly to web site and enter your information.

NOTE: This is a voluntary directory listing in which you can list your information for anyone to contact you.
This is separate from "current licensed" interpreter list.

Questionnaire

The following questions apply to your entire history regardless if you are a first-time or returning applicant.

If you answer yes to any questions, please fill out the associated follow-up questions.

Have you been licensed/certified in another state or country?
Has your license/certificate ever been subject to discipline?
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Have you been denied a license/certificate to practice as an interpreter by a government licensing authority?
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Have you been convicted of a felony or of an offense involving moral turpitude in this or any other state?
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Have you been adjudicated insane or incompetent?
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Have you applied for State of Arizona Interpreter Licensure before?
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Has your State of Arizona Interpreter License or another jurisdiction certificate/license lapsed in the past?
Did you work in settings where licensure is required? (if not applicable, check No)
Has your NAD/RID/BEI Certification (any type) lapsed in the past?
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Has your State of Arizona Interpreter License or another jurisdiction certificate/license been subject to a complaint in the past?
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Has your NAD/RID/BEI certification (any type) been subject to a complaint in the past?
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Are you a Citizen or National of the United States?
Per license rules, I will comply with the NAD-RID Code of Professional Conduct and Licensure rules.
Per license rules, I understand I am not permitted to work in a medical, mental health, platform or performance settings unless teamed with a Generalist or Legal licensed interpreter. I also understand that I am not permitted to work in legal settings under any circumstances. (A.R.S. R9-26-501)
Per license rules, I will maintain journals for teaming/mentoring and submit documentations upon renewal.

Statutory Information for the Reference of all applicants

Sec. 3. Section 41-1030, Arizona Revised Statutes, is amended to read:

41-1030. Invalidity of rules not made according to this chapter; prohibited agency action; prohibited acts by state employees; enforcement; notice

G. An agency shall prominently print the provisions of subsections B,D, E and F of this section on all license applications, except license application processed by the Corporation Commission.

B,D,E and F:

B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.

D. This section may be enforced in a private civil action and relief may be awarded against the State. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the State for a violation of this section.

E. A State employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency's adopted personnel policy.

F. This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.S

Checklist Section

This is your guide to ensure you have included all documents by checking the below for completeness.

IF ITEMS ARE NOT SUBMITTED, YOU WILL BE ASKED FOR MORE DOCUMENTATION OR INFORMATION; DELAYING YOUR PROCESS.

Photocopies must be clear. Poor copies will be rejected.

To ensure completion of application is met, please check the following by submitting with this application:

• Photocopy of your: High school diploma, GED, or Diploma from an accredited college or university (transcript accepted - official/unofficial)

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• Documentation of name change if you applied under a name different from that on your documents (birth certificate, degrees, etc).

i.e.: Your last name is different than your current last name on any documentation

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• Fill out and submit "Arizona Statement of Citizenship & Alien Status for Public Benefits" mandatory (submit passport, birth certificate, or valid work visa, etc)

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• Two identical Passport Photographs (passport sized with date on back - taken no more than 6 months before date of application)

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Directions on uploading passport photographs: Please scan your two (2) passport photographs side by side at high quality (at least 300 DPI). Ensure photographs line up straight at 90 degrees and upright (i.e. not slanted or taken at an angle distorting the photo). Before you upload, please make sure the photo is clear and sharp (i.e. not dark or blurry, etc.) with WHITE background and your face showing clear (i.e. no long hair over face, etc.). Upon review, if the photograph is not acceptable by the Commission, please be prepared to send us the hard photos in the mail.

* Note: You can inquire if the passport photo services can save the photos electronically for you on a CD or flash drive to upload instead.

Second option is to mail the two hard photos to ACDHH and staff will process them for you.

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• Submit payment of initial fee of $25.00

Please submit following documents along with your application:

• Education:

80 Hours - Photocopies of certificates of completion or transcript showing that you completed the required hours of interpreter preparation training from an accredited college or university or NAD/RID/BEI approved programs

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• Examination:

A photocopy of a letter provided by NAD/RID/BEI indicating that you passed the written examination

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• Work Experience:

Following hours of interpreting for which a license is not required under A.R.S. Section 36-1971(only pick one of the three following to be submitted and provide photocopies of your documentation)

i. A state-issued certification or certificate of competency in good standing

OR

ii. A score of at least 4.0 on the EIPA performance test

OR

iii. ACCI Certification (American Consortium of Certified Interpreter)

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PAYMENT INFORMATION, MAILING ADDRESS & QUESTIONS

Send info/application to: Licensing Department, 100 N. 15th Ave, Suite 104, Phoenix, AZ 85007

Questions: contact Victoria Vaughn at [email protected] - 602-364-0986 V.

Uploaded Files

File For Name

By checking this box, I agree that all information in this application is true and that I will comply with all licensure statutes, rules and CPC.

By submitting this application, I agree that all information in this application is true and that I will comply when subjected with an audit, ALSO comply with the NAD-RID Code of Professional Conduct (CPC) Do you agree? Please e-sign below.