Oral Certification Exam Application Form Ga Residents

ADMINISTRATIVE OFFICE OF THE COURTS OF GEORGIA GEORGIA COMMISSION ON INTERPRETERS

Oral Certification Exam Application for Georgia Residents
Current Fee $255 (Includes $5 Processing Fee)
Proof of residency is required at time of check in


Date of oral exam you are interested in taking
Prefix: (Mr./Mrs./Ms.)
First Name:
Middle Name:
Last Name:
Language :
Social Security:
Current Address:

City:

State:

Zip:

County:

CONTACT INFORMATION
Home Phone:
Work Phone:
Cell Phone:
Email Address:


Have you ever been licensed as an interpreter in another state?	Yes No	If so, where?
Has your license ever been revoked?	Yes No	Explain:


Attended Orientation	Where	(City/State)	When	(Month/ Year)
Passed English Written Exam	Where	(City/State)	When	(Month/ Year)
Previously Taken Oral	Where	(City/State)	When	(Month/ Year)
Times Attempted for the this language
Fees are refundable for cancellations received in writing by the registration deadline for each event. Please allow 2-3 weeks for processing. All fees are non-refundable and can not be transferred to another session after the registration deadline/closing date of each event. Priority will be given to Georgia residents. Out of state residence will not be notified of acceptance until after registration closing date and may test only if space permits