Title:	Mr.  Ms.  Dr.  Prof.
First Name*:
Surname*:
Street*:
Post Code*/City*:
Country*:
Mother tongue*:
Fax:
Tel.:
Date of Birth:
E-mail*:

What translation experience do you have in the following areas:
Technology, Economics, Law?

Have you completed a language, engineering, law or economics degree?

Do you possess capable hardware and software that corresponds to the latest state of technology?

Can you name any references (direct customers or translation offices)?

Your terms (EUR price per source word / standard line) / availability?

Current employment:
	I am currently in employment that is liable to social security payments
	with:
	Full-time	Part-time
	I am registered as unemployed at the employment exchange:
	yes	no	since:
	I have been self-employed		since:
Have you taken out a liability insurance policy for translators?
	yes	no

* These fields are required to send the form.