Membership Application Form

To apply for membership in WITS, please complete the following form and complete online payment with PayPal. If you would prefer to apply by mail, please download the membership application, and follow the directions on the application to complete it. Returning/Renewing members, please do not use this form: please go to the renewal page. *Denotes required field *First name:  *Last name:    *Mailing address:    *City:  *State:  *Zip: -        *Email address:    Work phone:          Home phone:   Cell phone:   Fax:   Pager: My enclosed payment is for membership in the following category: (only check one box) Individual    $45 Individual (NOTIS member discount) $40 Corporate   $90   Student (full-time)   $15 Institutional  $45 I wish to receive The Northwest Linguist as a paper newsletter by regular mail. I DO NOT wish to receive The Northwest Linguist by mail, I prefer the digital version only. Online Directory Form Did you know that one of the benefits of membership is to be listed in the WITS Online directory? The following fields need to be completed so that your name will appear.  Most fluent language: Working Languages (In order of proficiency). Do not list English, as it is assumed for interpreters working in the U.S. Indicate certifications and specializations for each: Language 1: Specializations: Judicial Medical Conference Business Technical Social services Credentials: WA State Court (certification/registration) Federal Court WA DSHS Social Services WA DSHS Medical Other: Language 2: Specializations: Judicial Medical Conference Business Technical Social services Credentials: WA State Court (certification/registration) Federal Court WA DSHS Social Services WA DSHS Medical Other: Language 3: Specializations: Judicial Medical Conference Business Technical Social services Credentials: WA State Court (certification/registration) Federal Court WA DSHS Social Services WA DSHS Medical Other: Language 4: Specializations: Judicial Medical Conference Business Technical Social services Credentials: WA State Court (certification/registration) Federal Court WA DSHS Social Services WA DSHS Medical Other: Language 5: Specializations: Judicial Medical Conference Business Technical Social services Credentials: WA State Court (certification/registration) Federal Court WA DSHS Social Services WA DSHS Medical Other:     Background and Services Education: (please limit to 120 characters, including spaces) Working as interpreter or translator since (year) Other services offered:   Availability:      Weekday      Weekday evening     Weekend      Weekend evening     Will travel Travel/Availability notes:   Please indicate the WITS Committee(s) in which you would like to participate: Programs   Advocacy Membership   Outreach/Public Relations Newsletter  Board Development/Nominations & Elections   Submit information and proceed to payment         Thank you very much!

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Copyright © 2005-2011  Washington State Court Interpreters & Translators Society. 
All rights reserved.
Last Revised: April 05, 2013

WITS
PO Box 1012 
Seattle, WA  98111-1012
www.witsnet.org