Healthcare Interpreting Program Interest Form

Name(Required)

First Last

Date of Birth(Required)

Address(Required)

Street Address City State ZIP Code

Cell Phone Number(Required)

Home Phone Number

Work Phone Number

Email(Required)

Current or previous student at Davidson-Davie?(Required)

UPLOAD OF THE FOLLOWING DOCUMENTS IS REQUIRED FOR ADMISSION

DOCUMENT 1: High School or GED Diploma or Transcript(Required)

Max. file size: 256 MB.

DOCUMENT 2: Proof of English Language Proficiency. Upload *ONE* of the following:(Required)

Max. file size: 256 MB.

OPTION 1) TABE reading placement test (10.0) | OPTION 2) High school transcript (if less than 10 years since graduation and unweighted GPA of ≥2.8) | OPTION 3) College credit for English (submit unofficial copy of transcript)

To schedule an appointment for the TABE reading placement test and/or the Spanish Language assessment, visit https://learningcommons.acuityscheduling.com/schedule.php. See Eusebio Velez, Public Safety Building office #111, for a testing permission form before going to test.