Medical Interpreting Course - Interest Form 
Please complete this Google Form if you are interested in a Medical Interpreting course.

LUNA Language Services offers a 40-hour course for medical interpreting called Bridging the Gap (BTG).  The course is extremely popular. This form will help LUNA screen applicants for future BTG courses. Two outcomes are possible: 
  • If you are invited, LUNA will contact you to set up Language Proficiency Assessments (LPA's).  These are 30-min. phone assessments of your speaking skills. You'll take LPA's in English and one other language. You must pass both assessments with a score of 9 or higher to participate in the course.
  • If you are not invited, your information will be held on file for up to six months for a course in that timeframe.
Please note: 
  • State funding is available to pay $600 of your $650 total tuition for this class. 
  • Everyone that applies may not be contacted. You may fill out ONE interest form every six months to be considered for BTG courses. Please do not fill out multiple forms; it is not necessary.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone number *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Apt. Number (if applicable)
City *
State *
Zip Code *
I speak English WITH PROFESSIONAL , CONVERSATIONAL proficiency, and I would be able to pass a 30-minute phone assessment in English. *
The other language/s besides English I speak with conversational, professional proficiency is... *
Please check the boxes that apply to you... *
Required
Washington Township Adult Education (WTAE) partners with LUNA Language Services to offer BTG courses for FREE (a $600 value). Your only out-of-pocket cost is $50 for the LPA's. 
In order for WTAE to pay your BTG course fee, you will need to complete approximately 4-5 hours of self-paced enrollment for WTAE. The WTAE enrollment must be finished at least 7 days prior to starting the course. 
Do you want to pay $650 out-of-pocket for the course OR do you want Washington Township funding to pay for the course? 
*
I understand I am about to submit an interest form for an upcoming BTG course and that I MAY or MAY NOT be contacted for up to six months for a course.  *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of MSD OF WASHINGTON TOWNSHIP. Report Abuse