Intel International Science and Engineering Fair
May 8 - 13, 2011   Los Angeles Convention Center
Los Angeles , California
Interpreter Registration Form

Over 150 interpreters are needed at this week-long international science competition for high school students from around the world.

If you can help us, please complete and submit this form to the Society for Science & the Public (when complete, click on the "Submit" button at the bottom of the form).

Please use the <Tab> key or your mouse to move from one field to the next. An * indicates a required field.

INTERPRETER Information:
First Name*
Middle Name
Last Name*
Address 1*
Address 2
City*
U.S. State:
State
Outside of U.S.:
Province
Country or Area
Zip Code*

Please provide an e-mail address and phone numbers (including area code) so you can be contacted by Society for Science & the Public. If you do not have an e-mail address, please type the word 'None' in the e-mail address field.
Daytime Phone*    Evening and Weekend Phone
Cell Phone
E-mail
Verify E-mail

Age (NOTE: All volunteers MUST be over 18 years of age.)
Date of Birth (mm/dd/yyyy)
Sex Female Male

Current or Previous Employment (if retired):


Language(s), in addition to English, in which you are fluent (Please select no more than four): *
Arabic Belarussian Cantonese
Czech Estonian Filipino
Georgian German Hebrew
Hungarian Japanese
Kazakh Korean Malay
Mandarin Portugese Romanian
Russian Sign Language Slovak
Spanish Sri Lankan Swedish
Thai Turkish Ukrainian
Urdu Vietnamese
Other    Specify Language

Level of interpretation*   Social (Conversational);   Technical

If a technical interpreter, what is/are your field(s) of expertise.( Hold "Ctrl" while selecting can choose multiple fields)


Computer Capability  None;   Beginner;   Average;   Advanced
Any special skills you possess (handyman, first aid, computers, etc.):

Corporate or organization affiliation, if any:

If you require special assistance for a disability (ADA), please indicate below:


T-shirt Size  S;   M;   L;   XL;   XXL;   3XL;   4XL

Will you need parking at the Convention Center?  Yes       No

Diet Requirement:  Normal;   Kosher;   Vegetarian;   Vegan (Strict Vegetarian)

Emergency Contact Information
Please provide the name and phone number of a person that can be contacted in case of emergency:
Name    Phone

Interpreter Job Schedule
Technical interpreters are needed primarily on Wednesday, May 11, 2011 for the entire day (7:00 a.m. to 6:30 p.m.) and if needed, on Thursday, May 12, 2011, to work with student finalists during judging. Social interpreters are needed for most shifts throughout the entire fair week, and especially Saturday, May 7, 2011 through Monday, May 9, 2011 to support student finalists during registration and project clearance.

Please check the day(s) and time(s) you wish to volunteer:
Available all days and all shifts.
DATE Shift/Time
7 - 11 AM 		Shift/Time
11 - 3 PM 		Shift/Time
3 - 7 PM 		Shift/Time
7 - 11 PM
Sat May 7        
Sun May 8        
Mon May 9        
Tue May 10        
Wed May 11        
Thu May 12        
Fri May 13        

Please be certain to click on the 'Submit' button.
Wait for confirmation page after submission - it can take a while to appear.