SUBCONTRACTOR'S DATA SHEET

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Please print and complete the data sheet and return it to us by regular mail,
enclosing a copy of your resume and a short translation sample of your choice
(please include source document and translation).

Mail form to:   East-West Concepts, Inc.
                P.O. Box 527
                Kalaheo, HI 96741 USA

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Date: _____________________________________

Name: __________________________________________________________________

Address (street or P.O. Box): __________________________________________

City: ____________________________ State/province: _____________________

Zip or postal code: ______________ Country: ____________________________

Home telephone: ________________________________________________________

Work telephone: ________________________________________________________

Fax: ____________________________ Modem #: _____________________________

E-mail address: ________________________________________________________

Sex: Male / / Female / / SS# or EIN: __________________________

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WORKING LANGUAGES (in order of proficiency) Feel free to add more

lines if you can handle more languages.

From: ____________________________ Into: _______________________________

Native language: _______________________________________________________

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WHICH SERVICES DO YOU OFFER? (check all that apply)

Translation / / Editing / / Proofreading / /

Interpreting / / (If you interpret, check which type of interpreting)

Consecutive / / Simultaneous / / Escort / / Court / /

Other services offered (e.g. voice over, desktop publishing):

________________________________________________________________________

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RATES:

Translation ________ USD/100 words Minimum per-job rate __________ USD

Interpreting (consecutive, court, escort) _____________________ USD/hour

Interpreting (simultaneous) ___________________________________ USD/hour

Day rate (consecutive, court, escort): _________ (simultaneous) ________

Minimum number of hours per assignment? ________________________________

Are you an experienced simultaneous interpeter? Yes / / No / /

American Translators Association member? Yes / / No / /

Other relevant memberships: ____________________________________________

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EDUCATION:

School/focus of study/degree: __________________________________________

________________________________________________________________________

School/focus of study/degree: __________________________________________

________________________________________________________________________

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OCCUPATION:

Current: _______________________________________________________________

Past: __________________________________________________________________

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EQUIPMENT:

Computer: PC / / Operating system/version: __________________________

Mac / / Mac OS version: ____________________________________

WORD PROCESSING SOFTWARE:

PC: Word for Windows / / Version: ___________________________________

WordPerfect: DOS / / Windows / / Version: ______________________

Other: ___________________________________________________________

Mac: Word / / Version: _______________________________________________

WordPerfect / / Version: ________________________________________

Other: ___________________________________________________________

OTHER RELEVANT SOFTWARE: (for example, desktop publishing software)

Platform, name, version ________________________________________________

Do you have a modem? Yes / / No / / Printer: Laser / / Other:________

Which general subjects, and specific areas are you qualified to translate?

Example: Computers (Printer documentation), Medical (dentistry, psychology)

**Please be descriptive**

This is how we can best learn about you and utilize your skills!

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Thank you!