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2024 - Prisma Independent Contractor Application Form - Language Services Division

Please fill out the form to the best of your ability. If there is a field that you are unsure about, simply fill it with "Not Applicable."
Disclaimer:

According to the GDPR, our international business handles personal data from NOAM, LATAM, and EMEA internal and external stakeholders, required to make certain disclosures in our privacy policy.

By completing this form, you give explicit and informed consent for us to process your information.

We follow GDPR’s data protection and accountability principles:

Data processing is fair to the data subject.
Data is only be processed for specific and legitimate purposes, outlined in your privacy policy.
We don’t collect more data than we need.
We make sure the data we collect is accurate.
We do not store personal data longer than needed for the specified purpose.
We process data in a way that ensures security, integrity, and confidentiality.
We can demonstrate compliance with these principles.
1.Legal Full Name (as it appears on your state-issued ID) (Required.)
2.(Area Code) and Mobile Number *(Required.)
3.Preferred Email Address *
4.Preferred Contact Method *
5.Home Address (From where you'd take assignments)
Include House Number, Street Name, Apt/Unit #(Required.)
6.City, State, Zip Code, Country(Required.)
7.Preferred distance range for assignments:(Required.)
8.Website/LinkedIn
Provide a LinkedIn link if you are interested in job postings from Prisma
9.Important Disclaimer: In 2022 we no longer issue checks.
If there is no direct deposit option, please stop here.

You will not be required to enter banking info for your application. You will be required to provide banking information for direct deposit if you get hired.

We use Direct Deposit for monthly payroll through ADP.
Do you possess a U.S. or international bank account where we can deposit your earnings?
10.Do you have reliable transportation to take onsite assignments?(Required.)
11.Do you require special accommodation or have a documented disability?

Prisma International Corporation is an EEO employer.
The law requires an employer to provide reasonable accommodation to an employee or job applicant with a disability unless doing so would cause significant difficulty or expense for the employer ("undue hardship"). *
12.Are you a minority applicant?

Prisma International Corporation is a MBE - Minority Business Enterprise Certified Small Business. *

In the United States, non-Hispanic Whites constitute the majority (approx. 63.4%), and all other racial and ethnic groups (Hispanic or Latino, African Americans, Asian Americans, American Indians, and Native Hawaiians) are classified as "minorities".
13.Are you a U.S. Veteran?

Prisma International Corporation encourages returning veterans from deployment and family members to apply for contract positions, transitioning back into the civilian U.S. labor marketplace.
14.Have you ever been fired/terminated from a job? This does not include leave of absence, paid leave, or furlough.(Required.)
15.Do you hold a credential/certification other than your degree? For interpreters, choose all that apply: CHI/CMI/State Court Certified/FCCI certification.(Required.)
16.ASL Interpreters Only - Please specify your certifications below:
17.If you are NOT certified (CHI/CMI, Court, or FCCI), which of these 40-hr minimum-required interpretation basic training did you complete?
18.If you are not trained or qualified, are you willing to take the basic required training in the first 3-6 months of the contract issue date?
19.Specialization or preferred assignment type(s) (Please check all that apply)(Required.)
20.Did you know that if you complete a BTG (Bridging the Gap) course at Prisma, you have a perpetual pay $5.00 USD bonus per assignment, on top of your hourly rate, for interpreting assignments?

This is our thank you and give back, to maximize your investment by taking the class with us.
21.Did you know that if you refer someone else to become a member of our interpreter network you get paid a referral bonus fee when your referral completes their first assignment? 

This is our thank you and give back for trusting Prisma to leverage your interpreter professional network.

Think about your bilingual network for non-competing languages in your market and same language as yours in different markets
22.Some clients require proper vaccination records for onsite assignments.

Do you currently have documentation to provide the client (if asked) for the Covid-19 vaccine or other vaccinations required to work in healthcare?

NOTE: Prisma International Corporation <<<does NOT>>> requires vaccination records, although clients may ask for such records for compliance. *
23.Are you fluent and proficient in a language other than English (C1/C2 level, 4-5: Professional or Native)? * 
24.Fluent / Native Spoken Languages:
Speaking fluency from HS education / GED or above*(Required.)
25.What is your highest level of formal education? *
26.What are your limitations for domestic and/or international travel?
27.Are you at least 18 years of age and can provide proof of your eligibility to work in the United States without sponsorship? *
28.What level of work authorization do you currently have? *
29.What is your availability and/or preference to work? Select all that apply.
30.Have you ever been convicted of a crime, felony, or misdemeanor, even if it is a minor traffic violation?(Required.)
31.Can you confirm, under penalty of perjury, that you are NOT LISTED in the federal List of Excluded Individuals and Entities (LEIE)/(OIG) and the federal System for Award Management (SAM), formerly known as Excluded Parties List System (EPLS) or their equivalent and you are not in any U.S. state exclusion list?(Required.)
32.What is your minimum required hourly rate for interpreting for ad-hoc PRN
Per Request Needed assignments?

Include $XX.XX amount per hour. *
33.What is your discounted hourly rate for B2B (Business to Business) or C2B (Client to Business) interpreting assignments? 

Include $XX.XX amount per hour aligned to your credentials for multiple assignments and shift work*
34.What is your mileage rate for assignments this fiscal year?

Disclaimer: We do not pay for travel time *.
Prisma International Corporation only reimburses for mileage reimbursement as contracted.
35.What are your terms and conditions for you to take assignments with Prisma International Corporation?

Include:
1. Cancellation policy
2. Minimum coverage
3. Assignments Preferences (Medical, Mental Health, Rehab, Legal, Court, Government, Community/NPOs, Education, Churches, Other)
4. Additional info to be considered for contract work

We do not pay a premium rate after hours, rush fees, or travel time, as we do not charge the clients any of these fees.
36.We do not offer benefits to contractors. To make sure you’re protected with solutions that meet your unique needs and goals, would you like to receive information from one of our partners pertaining to:
37.If you are signing up your Language Agency for B2B (Business to Business) subcontract work, we require a $1,000,000 USD minimum (per claim) in insurance coverage for professional and general liability. An ACORD certificate of insurance, a business license or Article of Incorporation may be required to enroll you as a B2B vendor.

Can you provide proof of insurance?
38.Resume(Required.)
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