NAD-RID NATIONAL INTERPRETER CERTIFICATION

KNOWLEDGE (WRITTEN) TEST APPLICATION

Name:____________________________________________________________ PLEASE CHOOSE ONE METHOD OF TESTING

Last First M.I.
❑ Computer-based Testing ❑ Pencil and Paper Test
SSN:_____________________________RID Member #: ___________________
• Offered at over 200 sites • Offered at 50 sites
Address: __________________________________________________________ nationwide nationwide
Street Apt. # • Testing retakes allowed • Testing retakes allowed
every 3 months every 6 months
______________ ___________________________________________________
City State Zip
• Results available • Results available 10
immediately at test site business days after
Home Phone:______________________Work Phone: _____________________ • On-demand test scheduling receipt of test from site
Specify V, TTY, or both Specify V, TTY, or both through CASTLE Worldwide • Test offered on the first
• You will receive instructions Saturday of June and
Pager:____________________________E-Mail: __________________________ on how to schedule your test December
NOTE: All Information is mandatory with your confirmation letter. • Application deadline 8
Cell Phone:________________________________________________________
except pager, cell phone, and RID weeks before test date
member number for non-members.

Test Item Member Non-Member Payment

NIC Written - Computer-based Test Fee (includes $40 non-refundable application fee) $240.00 $340.00
Retake Fee (includes $40 non-refundable application fee) $190.00 $290.00

NIC Written - Pencil and Paper Test Fee (includes $40 non-refundable application fee) $175.00 $275.00
Retake Fee (includes $40 non-refundable application fee) $125.00 $225.00

☛ In order to receive the RID member rate, you MUST already be a

member in good standing and include your member number.
If you have a disability or need TOTAL amount
enclosed (U.S.)
that requires a special accom-
Do you maintain other NAD or RID certification? ❑ YES ❑ NO modation, please describe
PAYMENT INFORMATION
below. Official verification of
If yes, which? ______________________________________________
the need for the accommoda- IMPORTANT: RID must receive payment
Test location/date preference(s)? For Pencil and Paper Test Only tion MUST accompany this in full before you will be eligible to take the
Date: _____________________________ Site Code _______________ application. test. You may fax or mail your application.

Site Name: ________________________________________________ _________________________ Money Order or Check # _________________

IMPORTANT: Please read the following statement and description of the NAD-RID NIC tests. All applicants ❑ VISA ❑ Master Card
must sign this acknowledgement that they have read and will abide by the following agreement.

I understand and agree that all materials developed and used in the test that I am applying to take are the Card # _______________________________
copyrighted property of the National Association of the Deaf (NAD) and the Registry of Interpreters for the
Deaf, Inc. (RID), which are not-for-profit organizations; that the test and test results are likewise the property of Expiration Date ________________________
NAD and RID and are not to be shared, duplicated or disseminated in any fashion; that such are not diagnostic
in nature and can be used for no purpose other than as intended by NAD and RID; and that the scores and
method of grading cannot be reviewed by anyone (myself included) except by those authorized by NAD and Name on Card__________________________
RID to evaluate and/or grade.
Make check payable to RID, Inc.
I have read and understand the conditions and requirements placed on me by NAD and RID in taking the
test applied for and do agree to abide by all of these and the rules for taking the test as set out by NAD Send application, fees, and any supporting
and RID. I hold harmless NAD and RID, its officers, agents, and employees from any and all liability, except documentation to:
intentional wrongdoing, in the offering, taking, grading, and reporting of these tests. I understand and agree
NAD-RID National Interpreter Certification
with the above statements.
C/O RID, Inc.
Signed:___________________________________________________ Date: _________________ 333 Commerce Street
(REQUIRED) By signing this, I certify that I am 18 or older.
Alexandria, VA 22314
RID shall not discriminate in matters of certification testing or membership on the basis of age, color, creed, disability, ethnicity, hearing (703) 838-0454 Fax
status, national origin, race, religion, gender or sexual orientation
REV 1/30/06