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DELUXE MEDIA

APPLICATION FORM
INDEPENDENT CONTRACTOR
(FREELANCE TRANSLATOR)
NOTES:
Mandatory fields are marked by an asterisk (*).
Please do not use accents, abbreviations or special characters (except in 1.1)
To check a box, double click and select Checked.
The candidate filling in this application form needs to be the person who will be collaborating
with us, billing us and receiving payment for the work.
All statements made in the application must be true and correct.
In the event of any information being found false or incorrect, the candidature will be cancelled.

DATE (DD/MM/YY):* //

Have you previously applied to Softitler/Deluxe Media?* Yes No


If yes, please indicate when (DD/MM/YY): //

Have you previously worked for Softitler/Deluxe Media?* Yes No


From://
If yes, please indicate period of collaboration (DD/MM/YY):
To: //

Part 1. PERSONAL DATA


Provide your full name in your native alphabet*
1.1
(Only if applicable, special characters allowed)

Please put your full legal name as per official document (for example as shown on your passport or travel document). In case of non-roman script, please
provide official transliteration. Note that the same name will need to figure on all documents submitted to us.

1.2 First Name*:

1.3 Middle Name(s)*:

1.4 Last Name(s)*:

1.5 Gender*: Female: Male: Other:

1.6 Birthplace (City, Country)*:

1.7 Date of Birth (DD/MM/YY)*: //

1.8 Country of Citizenship*:

1.9 Other Country of Citizenship*:


Country of residence is defined as the country where a person has lived for most of the past 12 months. Please note that payments will be made to a
personal account in your place of residence. If you are a U.S. citizen or resident alien, or have completed work in the U.S. and the amount is over the
IRS-designated amount, we are obliged to issue a 1099 form. For more information refer to the IRS website: https://www.irs.gov/.
1.10 Country of Legal Residence*:

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1.11 Do you have an Alien Registration Card (Green card)* Yes No


1.12 Are you eligible to pay taxes in U.S.*: Yes No
All correspondence will go to this address. This address will need to figure on all documentation provided.
1.13 Permanent Residence Address*:
Street 1:
Street 2:
City/Town:
Province/State/Region/District:
Postal Code:
Country:
1.14 Current Residence Address (only if different than Permanent Residence Address) :
How long do you plan to stay there?
Street 1:
Street 2:
City:
Province/State/Region:
Zip Code/ Post Code:
Country:
Please include international dialing code. The number provided must correspond to your place of residence.
1.15 Telephone no.* Residence: ()
Business: ()
Alternate Telephone no.
Cellular: ()
1.16 Primary E-mail Address*:

1.17 Secondary E-mail Address:


We only offer payment through electronic wire transfer. In order to receive payment you will need to provide your personal bank account information.. If
you wish to bill us through a self-owned company and receive payment to your corporate account, you will need to fill in required documentation. The
bank account provided must be in the place of residence.
1.18 I agree to the above payment conditions* Yes
If you are planning to bill us through a self-owned company, please confirm you are not a translation company/agency outsourcing work to other
translators. You must be the one completing the work. You must be legally authorized to sign on behalf of your company.
I am applying as an independent contractor and do not
1.19 Yes
intend to outsource any work*:

Part 2. LANGUAGE PROFICIENCY


2.1 Native language*:
If bilingual, indicate the native language you use the most:

Please indicate your country of origin:


Please use the European Indicator of Language Competence. https://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr
Basic User Independent User Proficient User
A1 - Breakthrough or beginner B1 - Threshold or intermediate C1 - Effective operational proficiency
A2 Way stage or elementary B2 - Vantage or upper intermediate or advanced

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C2 - Mastery or proficiency
2.2 Provide details regarding other language proficiency:
Language Level of understanding (listening) proficiency (in order of knowledge)
A. A1: A2: B1: B2: C1: C2:
B. A1: A2: B1: B2: C1: C2:
C. A1: A2: B1: B2: C1: C2:
D. A1: A2: B1: B2: C1: C2:
E. A1: A2: B1: B2: C1: C2:
Language Level of speaking proficiency (in order of knowledge)
A. A1: A2: B1: B2: C1: C2:
B. A1: A2: B1: B2: C1: C2:
C. A1: A2: B1: B2: C1: C2:
D. A1: A2: B1: B2: C1: C2:
E. A1: A2: B1: B2: C1: C2:
Language Level of writing proficiency (in order of knowledge)
A. A1: A2: B1: B2: C1: C2:
B. A1: A2: B1: B2: C1: C2:
C. A1: A2: B1: B2: C1: C2:
D. A1: A2: B1: B2: C1: C2:
E. A1: A2: B1: B2: C1: C2:
Only for Assamese, Bengali, Hindi, Gujarati, Kannada, Malayalam, Marathi, Odia, Punjabi, Tamil, Telugu or Urdu.
2.3 *Please indicate the name of the font(s) you able to type on the keyboard.
A.
B.
C.

Part 3. AVAILABILITY
3.1 When you would be ready to start collaboration (DD/MM/YY)*: //
3.2 * Please specify how many hours you are available per day:
.
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Part 4. COMPUTER HARDWARE AND SOFTWARE


In order to collaborate with us you need to have a personal computer. Our proprietary software is not compatible with MAC, Linux or Virtual PC. The
software will also have limited or no functionality with tablets.

4.1 Do you have a PC?* Yes: No:


Type* Desktop: Laptop:
Type of processor* 32 bit: 64 bit:
Monitor/Screen resolution*
4.2 Indicate the operating system on your PC*:
E.g. Windows XP, Windows Vista, Windows 7, Windows 8/8.1, Windows 10

4.3
How many GB of RAM does it have?*
(Right click on My Computer> System>Installed Memory RAM)
4.4 Do you have an anti-virus that can be updated weekly?* Yes: No:

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4.5 What is the name of the anti-virus on your PC?*


4.6 Do you have a firewall installed on your PC?* Yes: No:
Type:
4.7 Do you have a word processing program*: Yes: No:
Type:
4.8 Have you used any software to create subtitles?* Yes: No:
Type:
4.9 Do you have spell check in your native language*: Yes: No:
NOTES:

Part 5. INTERNET CONNECTION


5.1 Do you have access to the internet?* Yes: No:
5.2 Where do you access the internet?* Home:
Work:
Other
Please specify:
5.3
What type of internet connection do you have?* (Preferably 4 mbps)
(If unsure of the speed, search for Internet Speed Test online.)
Dial-Up: DSL: Cable: Other: (Please specify):
Download Speed:
Upload Speed:
Available in your area:

I agree to the requirements and will install Deluxes proprietary software and
Yes
work on the video and subtitles assets only on a PC that belongs to me.

Part 6. EDUCATION
6.1 Please list your diploma/degree(s) and the university or institute from which they were obtained:
DIPLOMA/DEGREE UNIVERSITY





Part 7. EMPLOYMENT HISTORY


7.1 What is your present occupation?*
7.2

Freelance Part time Full time

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Part 8. TRANSLATION & SUBTITLING WORK EXPERIENCE


8.1 Do you have experience in translation? Yes No
If yes, please specify:
Time: Years: Months:
Contract: Freelance Full-Time
Please mention three projects you have translated in the past 6 months and names of the companies you have
8.2 translated for:
If you are unable to disclose the projects or companies you have worked for due to non-disclosure agreements, please simply describe the type of
projects you have worked on and the company profile.

8.3 Do you have experience in subtitling? Yes No


If yes, please specify:
Time: Years: Months:
Contract: Freelance Full-Time
Please mention three projects you have subtitled in the past 6 months and names of the companies you have
subtitled for:
If you are unable to disclose the projects or companies you have worked for due to non-disclosure agreements, please simply describe the type of
projects you have worked on and the company profile.

Deluxe Media has a division which specializes in dubbing. Fill in this part of the form only if you would like us to pass on your contact information to our
dubbing division for prospective work.
8.4 Do you have experience in voice-over/lip sync dubbing? Yes No
If yes, please specify:
Time: Years: Months:
Contract: Freelance Full-Time
Please mention three projects you have dubbed in the past 6 months and names of companies you have dubbed
for:
If you are unable to disclose the projects or companies you have worked for due to non-disclosure agreements, please simply describe the type of
projects you have worked on and the company profile.

AGREEMENT

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I understand that if my application is retained, I will be required to complete an unpaid proficiency test.
I understand that all training is unpaid.
I ACCEPT*: Yes No
Your personal data will be used for the purpose of ensuring compliance with export laws, including those of the European Union and United States. By
submitting your personal data to Deluxe, you agree to allow your information to be screened for compliance with such laws. You also understand and agree
that your personal data may be transferred to and processed in a jurisdiction outside of the country in which it was collected, whose data protection laws may
not be as stringent as those in which you are located, and in particular, the United States.
I ACCEPT*: Yes No

NOTES:

Thank you for your time and effort!

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