Georgia Commission on Interpreters
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Current Renewal Fee $200 After December 31, 2007 4 p.m. EST, the fee will increase to $175, after March 31, 2008 the fee will increase to $200.
Name (First and Last) License Number Home Address City: State Zip: Date of Birth (mm/dd/yyyy format) Home Phone: Work Phone Cell/Mobile Phone Fax Email Certified Registered Certified or Registered
Please Indicate if you have completed the following requirements: Indicate OPI Score: Superior Advanced High Advanced Mid None Have you completed Orientation (16 Hour Training)? Yes No Have you completed English Written Exam? Yes No Oral Certification Exam: Sight? Yes No Consecutive? Yes No Simultaneous? Yes No Other: Have you been arrested, charged, entered a plea of nolo contendere, or convicted of any crime other than a minor traffic offense in the last calendar year? Yes No If yes, please explain
