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Consultant Application
Name:
Title:
Date of request:
Street Address:
City:
State:
Zip:
Email:
Phone:
Fax:
Consulting language:
Is this your native language?
Yes
(go To #3) No
(go To #4)
How much of your education was completed in this language?
years or degree completed (go to #5)
Describe your background in this language (education, experience, etc.)
Do you currently use this language as the primary language in your professional and personal life (speaking, reading, writing, listening, thinking)?
Yes
(go to #7) No
(go to #6)
Please briefly describe your experience
Please indicate whether you currently have a university-level of proficiency in the language on each of the following dimensions:
Speaking: Yes
No
(describe)
Writing: Yes
No
(describe)
Description of article content and current status of article
Description of support requested: check all that apply
Design
Data collection
Methodology
Editing
Other
Please describe:
Are you willing to share authorship?
Yes
No
Please feel free to add any additional information.