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Nevada Certified Court Interpreters Program HOW TO REQUEST ALTERNATIVE-STUDY COURSE APPROVAL FOR CONTINUING EDUCATION CREDIT If you are interested in requesting a continuing education requirement exception, complete, sign and date the attached Alternative-Study Course Plan Form along with a $25 check payable to AOC. Return the form to: Andrea Krlickova Court Services Analyst Administrative Office of the Courts Supreme Court 200 Lewis Avenue, 17th Floor Las Vegas, NV 89101-6204 Phone: (702) 486-9332 Fax: (702) 486-9339 The Alternative-Study Course Plan Form must be submitted at least 90 days prior to the beginning of the program. Once a plan is submitted, it will be evaluated for consideration and approval. The interpreters submitting the plan will be notified in writing whether the alternative-study program is accepted or rejected within 45 days of the receipt of the plan. An explanation or suggestions for change will be provided if it is rejected. Alternative Studies that have not been previously approved will not be evaluated for CE credit after the program has been completed. At the completion of the alternative-study program, participating interpreters must sign an affirmation of the hours studied and submit a summary or evaluation of the alternative-study program. Staff from AOC or a designee may observe an interpreter's alternative-study program at anytime, without prior notice. 1 Nevada Certified Court Interpreters Program Fee: $25 ALTERNATIVE STUDY COURSE PLAN FORM Form must be received at least 90 days prior to the expiration of the interpreter’s Nevada Certified Court Interpreter Credential. Section I Personal Information: List the names and certification numbers of the interpreters studying together (at least two): PHONE NAME ADDRESS CERTIFICATION CERTIFICATE NUMBER NUMBER EXPIRATION DATE Section II Indicate where interpreters will meet for alternative-study: Address: _________________________________________________________________ Contact Person: _____________________________ Phone Number:____________________________ 2 Section III Schedule Indicate the schedule of the times the interpreters will meet for alternative-study. A minimum of two hours per month for a minimum of three consecutive months. Attach additional pages if you need more space than provided. Months Times Section V Attach a full description of material to be studied. Attach additional pages if you need more space than provided. 3 Section VI All participant interpreters must read and sign the statement below. At the completion of the alternative-study program, participating interpreters must sign an affirmation of the hours studied and submit a summary or evaluation of the alternative-study program. AOC assignee may observe an interpreter's alternative-study program at anytime, without prior notice. We declare under penalty of perjury under the laws of the State of Nevada that the information provided above is true and correct. We understand that any misrepresentations regarding an alternative-study program disqualify us from obtaining CE credits from the program in question, disqualify us from ever obtaining CE credits by participating in an alternative-study program, and may be an ethical violation resulting in suspension or withdrawal of the Nevada Certified Court Interpreter credential. Print Name Signature Certificate Number Hours _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ 4 Checklist Did you include? Names, addresses, and certification status of two or more interpreters studying together. Description of material to be studied. A schedule of the times the interpreters will meet for alternative-study (a minimum of two hours per month for a minimum of three consecutive months). The address where the interpreters will meet for alternative-study. 5
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6/16/2008
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