Prisma International Corporation Student Registration Form (BTG, TMI, TCI) Interpreter Programs and Immersion Programs

Our BTG program is unique! We are the ONLY agency in the country that offers ICF Certified professional coaching post-program, to help you navigate the job market or set up your own business. Learn how we are different: https://www.prismalanguages.com/bridging-the-gap.html

The BTG program at Prisma contains the 40-Hr minimum basic training to become professionally trained and qualified, providing proof of successful completion for work eligibility in healthcare settings, community interpretation, and as 1/5 requirements to sit for the National Certifications CMI, Hub-CMI, CHI, and CoreCHI.

(NC) and (GA) Residents: The price for our BTG (Bridging the Gap) course is $850 for https://www.paypal.me/prismainc/850

All Other States' Residents: The price for our BTG (Bridging the Gap) course is $1050 for https://www.paypal.me/prismainc/1050

International Students: The price for our TCI (The Community Interpreter) and TMI (The Medical Interpreter) courses are $1275 for https://www.paypal.me/prismainc/1275

You can pay digitally through our Paypal links above, request an invoice, request banking deposit information for wire transfers, or mail a check/money order, postmarked 4 weeks prior to class.

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* 1. Full Legal Name, as you'd like your certificate to be issued *

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* 2. Cell Phone Number *

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* 3. E-mail address (Personal preferably) *

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* 4. Mailing Address(Line 1). Include House Number, Street Name, Apt/Unit #, City, State, Zip Code, and Country *

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* 5. Textbook or Glossary Language-Combination Request:

English-Amharic Medical Glossary

English-Arabic Medical Glossary

English-Bengali Medical Glossary

English-Bosnian Medical Glossary

English-Burmese Medical Glossary

English-Chinese Medical Glossary

English-Farsi Medical Glossary

English-French Medical Glossary

English-Haitian Medical Glossary

English-Hindi Medical Glossary

English-Japanese Medical Glossary

English-Khmer (Cambodian) Medical Glossary

English-Korean Medical Glossary

English-Lao Medical Glossary

English-Marshallese Medical Glossary

English-Nepali Medical Glossary

English-Polish Medical Glossary

English-Portuguese Medical Glossary

English-Russian Medical Glossary

English-Somali Medical Glossary

English-Spanish Medical Glossary

English-Tagalog Medical Glossary

English-Tigrigna Medical Glossary

English-Urdu Medical Glossary

English-Vietnamese Medical Glossary

Spanish Step-by-Step Immersion Textbook

Other? Request info in the notes section below

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* 6. LinkedIn Profile (If interested in working with our Agency, post-program) or need letters or recommendation

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* 7. Company/Sponsor (If Applicable)

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* 8. Which course are you registering for? *

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* 9. What company sponsors your training

Other (please specify)

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* 10. Which month and session are you registering for?

June 2022 - Remote (Weekends)

July 2022 - Remote (Weekends)

August 2022 - Remote (Weekends)

September 2022 - Remote (Weekends)

October 2022 - Remote (Weekends)

November 2022 - Remote (Weekends)

December 2022 - Remote (Weekends)

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* 11. How did you hear about us? *

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* 12. If someone referred you, please provide the name of the person who shared our program with you. N/A if none. *

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* 13. Reason for taking this course? *

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* 14. Are you willing to authorize a photo release to Prisma International Corporation? *

Yes

Solely among classmates

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* 15. What would you like to do with your coaching sessions after the class? (Only for BTG and PMI/TMI Students) *

Resume Review and Feedback

Interviewing Prep and Mock Interview

Entrepreneurship and Business Coaching

Other

N/A

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* 16. Enter your coupon code here:

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* 17. PLEASE READ CAREFULLY and CHECK EACH BOX ON THE REGISTRATION FORM TO ACKNOWLEDGE: *

I hereby release from liability Prisma International Corporation and its representatives for seeking, gathering, and using such information to make admission decisions and all other persons or organizations for providing such information.

I hereby understand that Prisma International Corporation shall not be held liable for any type of liability, including but not limited to student’s behavior while on site, damage or loss of student’s property, liability within the Company premises included but not limited to company surrounding areas and building, and company parking space. I understand that any misrepresentation or material omission made by me on this application for admission will be sufficient cause for cancellation of this application or immediate termination of services rendered, whenever it may be discovered.

I acknowledge I will not hold Prisma International Corporation liable for any mailing delays caused by unforeseen reasons, force majeure, or lost mail by DHL, USPS, UPS, FedEx or else; where a period of 15-60 days may apply for a lost-mail claim to be processed. Prisma International Corporation requires delivery signature for their packages.

I acknowledge that there is a specified length and time for services and that this application does constitute an agreement or contract for services upon payment is received. Accordingly, either I or Prisma International Corporation can terminate the relationship at will, with or without cause, at any time before Prisma International Corporation confirms your class registration and seat booked in writing; as there is no violation of applicable federal or state law.

I acknowledge and understand that I will cancel my registration if no payments have been disbursed to Prisma International Corporation. I also acknowledge that I understand if costs are incurred by Prisma International Corporation for booking hotel/accommodation/conference room for this class that requires a minimum of participants to hold the class; that my registration fees are forfeit, if I am unable to attend the class for which I register (example: signing for a conference you cannot attend anymore).

I acknowledge and understand that the payments are due five weeks prior to training and up to the day before the first day of class, and no refunds are available unless you cancel within 3 calendar days from purchase and after all transactions fees incurred are deducted for credit card processing, shipping and handling.

If you cannot make the class, your class registration fees may be applied for the next classes available within the same calendar year on your registration form; only if any of these cases apply: medical emergency which requires a medical provider work/school note, loss of immediate family member, sudden relocation, or job loss.

If you are late for class, you will be responsible for the lesson/partial lessons you’ve missed and must study on your own. We highlight instructions once you are registered to ensure a promptly start time so we do not inconvenience other students.

If you do not show for your post-class coaching session (1), you will forfeit the remaining session(s) in your package included, unless you contact the Coach / Trainer at least 24 hours prior for rescheduling. You will also forfeit any schedule session after 10 minutes tardiness, when the Coach has been scheduled.

Coaching is a value-add service as is not guaranteed to be provided after training has been rendered, as this a pro bono portion added to your package.

All sales are final. In the event that the minimum cohort or class size does not form, you have the option of taking the online option of the course; if not, you will be immediately enrolled in the next available on-site training, if applicable.

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* 18. Have you read the disclaimer and terms of service and agreed to them, in order to enroll in our class? By submitting your application you acknowledge that you understand the terms and conditions for your registration and have printed a copy of the disclaimer provided at the time of enrollment. *

Yes

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* 19. NOTES SECTION: Do you have any questions or concerns you'd like to share with us? N/A if none*

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* 20. After submitting this form, the confirmation message will display links for payment. If you have any questions regarding payment, please contact us at contact@prisma-international-corporation.com

Okay