Application for Per Diem Court Reporter~4.docx

COMMONWEALTH OF MASSACHUSETTS

THE TRIAL COURT

Application for Per Diem Court Reporter

INSTRUCTIONS: ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETED in order for you to be considered an applicant to the RFP for ACT.

Type or print clearly.

Answer every question fully and accurately. A resume must be attached, but does not substitute for answering all of the required sections. Use page 5 of this application to provide additional information to complete an answer to any question.

Applicants will be notified of the status of their application by email. Please be sure to provide an email address that is checked regularly.

APPLICANT INFORMATION

Applicant Information Date

Email Address

Name

(Last) (First) (Middle) Are you 18 years of age or older?

□YES □NO

(Birth Date) (Place of Birth) Please Check One:

□MALE □FEMALE

Are you a U.S. Citizen? □YES □NO

If no, please attach all documents showing you have entitlement to remain and work in the U.S.

Home Address

(No.) (Street) (City) (State) (Zip Code) Home Telephone Number

Cellular Telephone Number

Office Address

Office Telephone Number

FAX Number

EMPLOYMENT INFORMATION – Page 2 Employment Information List the most recent position first. Account for all periods of time. You may include below any verified work performed on a volunteer basis; use page 5 of this application, or attach paper, if additional space is needed.

Name of Employer

Address

Describe your duties:

Supervisor Name

Supervisor Title

Supervisor Telephone Number

Supervisor Email Address

Name of Employer

Address

Describe your duties:

Supervisor Name

Supervisor Title

Supervisor Telephone Number

Supervisor Email Address

EMPLOYMENT INFORMATION – Page 3 Employment Information List the most recent position first. Account for all periods of time. You may include below any verified work performed on a volunteer basis; use page 5 of this application, or attach paper, if additional space is needed.

Name of Employer

Address

Describe your duties:

Supervisor Name

Supervisor Title

Supervisor Telephone Number

Supervisor Email Address

Name of Employer

Address

Describe your duties:

Supervisor Name

Supervisor Title

Supervisor Telephone Number

Supervisor Email Address

EDUCATION – Page 4 High School/Vocational School

Dates Attended

Course of Study Did you graduate from High School or receive a GED?

A copy of your diploma must be attached

College/University

Dates Attended

Did you graduate? If yes, specify degree obtained:

A copy of your transcript must be attached

Court Reporting/Transcription School

Dates Attended

Did you graduate? If yes, specify certificate obtained:

A copy of your certificate must be attached

Graduate School/Additional Education

Dates Attended

Did you graduate? If yes, specify degree obtained:

A copy of your transcript must be attached

Current Certification of any, all continuing education units relative to court transcription/court reporting programs.

OPTIONAL – Page 5 Use the space below to complete any answers to a question asked above and to include any additional information you feel might favorably affect consideration of your application.

EXPERIENCE – Page 6 Please describe your knowledge of the Massachusetts State Courts general procedures, and practices.

Please describe your knowledge of legal terminology.

Please describe your working knowledge of Administrative Directive #1-08, the Uniform Transcript Format.

Please provide your typing speed: ____________________WPM

Please describe your experience with preparing official, verbatim transcripts of court proceedings from digital audio recordings.

VENDOR CUSTOMER REFERENCES – Page 7 Customer Name

Dates Services Provided

Address

Email Address

Telephone Number

Brief description of work completed

Customer Name

Dates Services Provided

Address

Email Address

Brief description of work completed

Customer Name

Dates Services Provided

Address

Email Address

Brief description of work completed

ALL APPLICANTS MUST SIGN THIS PAGE TO BE CONSIDERED

I certify that all of the information provided in this application is true and to the best of my knowledge and belief.

Signature: Date: