Applicant Information

School Contact Information

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Required Documents

I understand that I may come in contact with confidential information during my time at ACCESS​. ​As part of the condition of my observations, service learning hours, and other internship requirements with ACCESS; I hereby undertake to keep in strict confidence any information regarding any client, employee, patient, deaf consumer, independent contractor (interpreters that you observe and shadow) or contracting entity of ACCESS​, or any other organization that is considered confidential. This confidentiality includes client lists, other sub-contracting agency names and contracting business entities. I understand that any and all assignment-related information are to be treated as confidential and that certain measures (according to Tenet 1.0 Confidentiality in the Interpreter Code of Professional Conduct) are to be taken to ensure that confidentiality is not violated. Such measures include but are not limited to locking cell phone, computer, or any other personal device containing accessible sensitive information, refraining from texting sensitive (assignment related) information of any kind that would violate HIPPA ie patient birth date, MRN #, medical file #, SS#, etc., and limiting documented information for internship purposes. Only the most general, non-specific information is to be shared (as needed) with my instructor/work-study coordinator/ school site supervisor. I will do this in accordance with ACCESS Interpreting Services Incorporated confidentiality policy and applicable laws, including those that require mandatory reporting.

I understand that confidential information also includes that of intellectual property. Intellectual property can be defined as anything learned and/or information obtained concerning agency operations, protocols, mentorship curriculum, billing/scheduling procedures, etc. Intellectual property is strictly confidential and not to be shared with anyone outside of ACCESS Interpreting Services Inc.

I also agree to never remove any confidential material of any kind from the premises of contracted assignment locations​ ​unless authorized as part of my duties, or with the expressed permission or direction to do so from ACCESS.

I have read and understood ACCESS Interpreting Services Confidentiality Policy.

Please read carefully before signing the application.

The company is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.  

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me.  If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice to exercise "at will" employment.  I understand that no representative of the company has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to the company true and complete information on this application.  No requested information has been concealed.  I authorize the company to contact references provided for employment reference checks and to conduct a background investigation.  If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.