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DHCC Pre-Screening Questionnaire

Thank you for your interest in becoming a subcontract interpreter with DHCC.

This brief questionnaire helps us gather the information needed to assess and schedule your screening and ethics interview.

Disclaimer – Video Required

Note: You must upload a short ASL video introduction to complete this form. Submissions without a video will not be accepted.

First Name(Required)

Last Name(Required)

Email(Required)

Phone Number(Required)

Certifications & Registration

Have you taken and passed the CASLI Written Exam?(Required)

Yes

Are you registered with ODHH (Pennsylvania)(Required)

Yes

I have submitted my paperwork for registration

Do you have your EIPA?(Required)

Yes

I have taken the exam and am waiting on test results

Work Preferences

Availability for freelance work:(Required)

Full time (days, evenings, weekends)

Part time (evenings, weekends)

Unknown: I just want to be on the DHCC's list and will note when available

Work preference:(Required)

In-person

Virtual Only

Both

Do you currently have liability insurance?(Required)

Yes

ASL Introduction Video Request

To complete this pre-screening form, you must upload a short video introduction in ASL. (Required)

Screening Availability

Please provide your general availability for a virtual screening with DHCC. Include preferred days, times of day, and any dates you are unavailable over the next 2–3 weeks. (Required)

Thank you for completing the DHCC Pre-Screening Questionnaire.Once submitted, a member of our team will review your responses and reach out to schedule your screening and ethics interview.

If you have any immediate questions, you can email clearances@dhcc.org.

We appreciate your interest in working with DHCC!

DHCC accomplishes our mission through communication access services, education, and advocacy. We advocate for Deaf and Hard of Hearing individuals to help them gain communication access to services, businesses, educational institutions and their own places of employment.

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First name(Required)

Last name(Required)

Email(Required)

Phone(Required)

Video phone

Multi-line address

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Address

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I want to subscribe to your mailing list.

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