Independent Study Verification Form - American Translators Association (ATA)-永利最新网址

To keep track of your Category B CEPs, complete the form below. You must print and keep a copy of this form for your records. ATA does not receive or keep a copy. You may be asked to provide a copy of this form to ATA at the end of your three-year reporting period.

Independent Study Verification

Name*

First Middle Last

Email*

Are you an ATA Member*

Yes
No

ATA Membership Number

Enter your ATA membership number if you have one.

ATA Certification Number

Enter your ATA Certification Number

Date the activity was completed*

Title of publication, article, book or educational tool*

Author (if applicable)

Length

Please give short answers to the following questions

How does the material relate to the translation or interpreting professions?

How would you summarize this material?

What did you gain from this material?

Consent*

I am voluntarily providing my personal information to ATA and I consent to having such information transferred to, processed, and stored in the United States. I agree to the privacy policy.